Active NPI
Charlotte Elizabeth Mason, PNP-PC
- Pediatric Nurse Practitioner
- Vestavia Hills, AL
National Provider Identifier
1245949601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 1-170783
- Practice address
- 790 Montgomery Hwy Ste 112
Vestavia Hills, AL 35216-1873 - Phone
- (205) 769-6800
- Fax
- (205) 769-6801
- NPI assigned
- Nov 15, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 1-170783 | AL | Primary |
Addresses
Primary practice location
790 Montgomery Hwy Ste 112
Vestavia Hills, AL 35216-1873
Mailing address
129 Elder St
Irondale, AL 35210-2521
Phone (205) 223-2183
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cmason@yourkidsurgentcare.com | Direct |
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 |
|---|---|---|---|
| 1-170783 | AL | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Your Kids Urgent Care Alabama | Current | Accepting new patients |
Locations
790 Montgomery Hwy
Ste 112
Vestavia Hills, AL 35216
Phone (205) 769-6800
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.
-
- Pediatrics Physician
- Vestavia Hills, AL
- NPI 1306404777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668470400000",
"number": "1245949601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "129 ELDER ST",
"city": "IRONDALE",
"state": "AL",
"postal_code": "352102521",
"telephone_number": "205-223-2183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "790 MONTGOMERY HWY STE 112",
"city": "VESTAVIA HILLS",
"state": "AL",
"postal_code": "352161873",
"telephone_number": "205-769-6800",
"fax_number": "205-769-6801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASON",
"first_name": "CHARLOTTE",
"middle_name": "ELIZABETH",
"credential": "PNP-PC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-15",
"last_updated": "2022-11-15",
"certification_date": "2022-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "AL",
"license": "1-170783",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cmason@yourkidsurgentcare.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "790 Montgomery Hwy Ste 112",
"city": "Vestavia Hills",
"state": "AL",
"country_code": "US",
"postal_code": "352161873",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Vestavia Hills, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.