Active NPI
Christine Alexandrea Mason
- Licensed Practical Nurse
- Washington, DC
National Provider Identifier
1154706141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- HHA 11287
- Practice address
- 4920 46TH St NW
Washington, DC 20016-4002 - Phone
- (757) 319-6159
- NPI assigned
- Jul 20, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | HHA 11287 | DC | Primary |
Addresses
Primary practice location
4920 46TH St NW
Washington, DC 20016-4002
Mailing address
4920 46TH St NW
Washington, DC 20016-4002
Phone (757) 319-6159
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 70700558 | Medicaid | DC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HHA 11287 | DC | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437350400000",
"number": "1154706141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4920 46TH ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200164002",
"telephone_number": "757-319-6159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4920 46TH ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200164002",
"telephone_number": "757-319-6159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASON",
"first_name": "CHRISTINE",
"middle_name": "ALEXANDREA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-20",
"last_updated": "2015-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "DC",
"license": "HHA 11287",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "70700558",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.