Nancy Marie Mazza, CDP

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CP00006260 Issued in WA

Practice address

9601 Bujacich Rd NW
Gig Harbor, WA 98332-8300

Phone

(253) 858-4200

NPI assigned

Oct 24, 2018

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

State licenses

Practice roles

Locations

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.

• Washington State Department of Corrections Washington Corrections Ce

  • Prison Health Clinic/Center
  • Gig Harbor, WA
  • NPI 1114218591
  NPD

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

{
    "created_epoch": "1540339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564099200000",
    "number": "1275000697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9601 BUJACICH RD NW",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983328300",
            "telephone_number": "253-858-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 BUJACICH RD NW",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983328300",
            "telephone_number": "253-858-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZZA",
        "first_name": "NANCY",
        "middle_name": "MARIE",
        "credential": "CDP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-24",
        "last_updated": "2019-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP00006260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dean G Mastras, MD
• Ann Mathura, RN
• Kathryn Thena Matthews, PA-C
• Evan Otice Mayo, RPH
• Josephine G Mayo, RPH
• James Douglas McAlexander, D.P.M.
• Jessica Lee McBride, BA, CDPT
• Kathleen A McDaniel, PA-C
• Anna B. McDonald, PSY.D.
• Victoria L McDuffee, PHD

• All providers in Gig Harbor, WA
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2019; 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.