Monica N Masingale, APN
Individual provider Active NPI Family Nurse Practitioner · Englewood, TN
NPI 1225075781 · NPPES record last updated Jun 13, 2016
Key facts
- NPI
- 1225075781
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- APN0000011954 (TN)
- Practice address
- 321 W Athens St
Englewood, TN 37329-3269 - Phone
- (423) 887-7100
- Fax
- (423) 606-0122
- NPI assigned
- Jun 1, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11954 | TN | MD | Medical license number |
| APN0000011954 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charles B Cox MDPC | Past |
Accepting new patients | |
| Volunteer Behavioral Health Care System | Past |
Accepting new patients |
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/vbhcs/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 11954 | TN | |
| Family Nurse Practitioner | 363LF0000X | APN0000011954 | TN | Yes |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APN0000011954 | TN |
Addresses
Primary practice location
321 W Athens St
Englewood, TN 37329-3269
Mailing address
321 W Athens St
Englewood, TN 37329-3269
Phone (423) 887-7100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103I508310 | Other | TN | MEDICARE PTAN |
Other providers in Englewood, TN
- Live Oak Psychiatric Associates, PLLC
- Maryeva Ella Martin
- Rachel Martinez
- Masingale Family Practice LLC
- Brian Masingale
- Latonya Lynn McDermott
- Lisa Ann Mitchell
- Tonya Michelle Moses
- Annetta Lynn Newman
- Positive Behavior Support Corporation
All providers in Englewood, TN · Family Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.