Mary Masuk, FNP, RNC

Primary specialty

Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X

License

R27602 Issued in NM

Practice address

1111 Stanford Dr NE
Albuquerque, NM 87106-3721

Phone

(505) 841-4149

NPI assigned

Feb 27, 2007

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

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.

• State of New Mexico

  • Public Health or Welfare Agency
  • Santa Fe, NM
  • NPI 1134257249
  NPD (past)

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200355200000",
    "number": "1215064399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 STANFORD DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871063721",
            "telephone_number": "505-841-4149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 STANFORD DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871063721",
            "telephone_number": "505-841-4149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASUK",
        "first_name": "MARY",
        "credential": "FNP, RNC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2008-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "NM",
            "license": "R27602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Britt Masters, LMHC
• Jody Masters, PA
• Bianka Mata-Gutierrez
• Bryanna Mata-Gutierrez
• Paula L. Mata-Molina, MD
• David Mata
• Helen Mata

• Family Health Clinical Nurse Specialist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Family Health Clinical Nurse Specialist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; 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.