Active NPI
Christina Mastio, N.P.
- Family Nurse Practitioner
- Kansas City, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 53-44869-061
- Practice address
- 9800 Troup Avenue
Kansas City, KS 66111-1870 - Phone
- (917) 297-7472
- Fax
- (913) 788-5878
- NPI assigned
- Feb 13, 2007
- Last updated
- Apr 30, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209005899 | IL | |
| Family Nurse Practitioner | 363LF0000X | 121002 | MO | |
| Family Nurse Practitioner | 363LF0000X | 53-44869-061 | KS | Primary |
Addresses
Primary practice location
9800 Troup Avenue
Kansas City, KS 66111-1870
Mailing address
9800 Troup Avenue
Kansas City, KS 66111-1870
Phone (917) 297-7472
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209005899 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Complexcare Medical Group Midwest M PLLC | Current | Accepting new patients | |
| Theoria Medical | Current | Accepting new patients | |
| Theoria Medical | Past | Accepting new patients | |
| Premise Health of West Virginia Medical, Medical Corporation | Past | Accepting new patients |
Locations
41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763
3002 John Duffy Dr
Joplin, MO 64804
Phone (417) 553-9767
9191 N Ambassador Dr
Kansas City, MO 64154
Phone (816) 491-6190
4301 NE Parvin Rd
North Kansas City, MO 64117
Phone (816) 444-0900
2150 W Randolph St
Saint Charles, MO 63301
Phone (636) 946-4966
505 W Evergreen St
Strafford, MO 65757
Phone (417) 736-9332
809 W Benton St
Windsor, MO 65360
Phone (660) 467-3102
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Sprint On Site Health Center Overland Park
- Primary Care Clinic/Center
- Overland Park, KS
- NPI 1306089560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714435200000",
"number": "1255473732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9800 TROUP AVENUE",
"city": "KANSAS CITY",
"state": "KS",
"postal_code": "661111870",
"telephone_number": "917-297-7472",
"fax_number": "913-788-5878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9800 TROUP AVENUE",
"city": "KANSAS CITY",
"state": "KS",
"postal_code": "661111870",
"telephone_number": "917-297-7472",
"fax_number": "913-788-5878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASTIO",
"first_name": "CHRISTINA",
"name_prefix": "Prof.",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-13",
"last_updated": "2024-04-30",
"certification_date": "2024-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209005899",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "121002",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KS",
"license": "53-44869-061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.