Active NPI
John R Massey, NURSE PRACTITIONER
- Family Health Clinical Nurse Specialist
- Ruston, LA
National Provider Identifier
1184823676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Health Clinical Nurse Specialist
- License
- 1660
- Practice address
- 604 Belue Lane
Suite B
Ruston, LA 71270-5936 - Phone
- (318) 251-6385
- NPI assigned
- Jul 13, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Health Clinical Nurse Specialist | 364SF0001X | 1660 | LA | Primary |
Addresses
Primary practice location
604 Belue Lane
Suite B
Ruston, LA 71270-5936
Mailing address
604 Belue Lane
Suite B
Ruston, LA 71270-8299
Phone (318) 251-6385
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 |
|---|---|---|---|
| 1660 | LA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lincoln Family Health Clinic, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rural Health Clinic/Center
- Ruston, LA
- NPI 1750588547
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184544000000",
"number": "1184823676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "604 BELUE LANE",
"address_2": "SUITE B",
"city": "RUSTON",
"state": "LA",
"postal_code": "712708299",
"telephone_number": "318-251-6385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "604 BELUE LANE",
"address_2": "SUITE B",
"city": "RUSTON",
"state": "LA",
"postal_code": "712705936",
"telephone_number": "318-251-6385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASSEY",
"first_name": "JOHN",
"middle_name": "R",
"name_prefix": "Mr.",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-13",
"last_updated": "2007-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "364SF0001X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Family Health",
"state": "LA",
"license": "1660",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ruston, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.