Jennifer R Massey, CNNP

Primary specialty

Critical Care Neonatal Nurse PractitionerTaxonomy code 363LN0005X

License

R872528 Issued in MS

Practice address

6049 U S Highway 49
Hattiesburg, MS 39402-2555

Phone

(601) 288-3440

NPI assigned

Feb 23, 2009

Sex

Female

Sole proprietor

Yes

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

Nurse Practitioner

State licenses

Practice roles

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.

• Southern Mississippi Neonatology, PA

  • Neonatal-Perinatal Medicine Physician
  • Hattiesburg, MS
  • NPI 1578691499
  NPD (past)

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

{
    "created_epoch": "1235347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235347200000",
    "number": "1205076809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 RED MAPLE TRL",
            "city": "PETAL",
            "state": "MS",
            "postal_code": "394654430",
            "telephone_number": "601-466-6469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6049 U S HIGHWAY 49",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394022555",
            "telephone_number": "601-288-3440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSEY",
        "first_name": "JENNIFER",
        "middle_name": "R",
        "credential": "CNNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-23",
        "last_updated": "2009-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0005X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": "MS",
            "license": "R872528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Reeder Mascagni, C.F.N.P.
• James Maurice Mask, MS
• Brian Ross Maskew
• Sarah Elise Mason, M.S., CCC-SLP
• Brad H Massey, AACNP, ANP
• Stephen Massey, M.D.
• Lyric Maston
• Nedal Matani
• Cristy M Mathews, HAIR LOSS SPECIALIST
• Marla V Mathis, FNP-BC

• All providers in Hattiesburg, MS
• Critical Care Neonatal Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2009; 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.