Jennifer Nicole Masterman, RN

Primary specialty

Infection Control Registered NurseTaxonomy code 163WI0600X

License

0001277145 Issued in VA

Practice address

620 John Paul Circle
Portsmouth, VA 23708

Phone

(757) 953-9429

NPI assigned

Jun 30, 2022

Last updated

Jun 30, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1656547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1174255715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2723 RIVER WATCH DR",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234348656",
            "telephone_number": "910-508-7927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 JOHN PAUL CIRCLE",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "23708",
            "telephone_number": "757-953-9429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTERMAN",
        "first_name": "JENNIFER",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-30",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WI0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infection Control",
            "state": "VA",
            "license": "0001277145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucretia Mason-Underdue, LPC
• Camai Sykes Mason
• Kim Feressia Mason
• Pamella Opal Mason, RDH
• Andrea Massey, R.T.(R)(CT)(ARRT)
• Dane Masuda, PA-C
• Matthew Ryan Masur, MD
• Thomas Oliver Matella Jr., CRNA
• Karen Mathias, R.N.,C.P.N.P.
• Ashley Ann Matias, MD

• Infection Control Registered Nurse in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Infection Control Registered Nurse in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.