Individual provider Active NPI

Lynda Jean Masco, CRNP

  • Family Nurse Practitioner
  • Huntsville, AL
National Provider Identifier
1275158289
Registry record updated Jul 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-151950 Issued in AL
Practice address
807 Tannahill Dr SE
Huntsville, AL 35802-1935
Phone
(661) 917-9136
NPI assigned
Jun 15, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-151950 AL Primary

Addresses

Primary practice location

807 Tannahill Dr SE
Huntsville, AL 35802-1935

Mailing address

PO Box 4993
Huntsville, AL 35815-4993
Phone (661) 917-9136

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

LicenseStateTypeSpecialty
1-151950ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lynda Masco, CRNP, LLC CurrentSince Mar 3, 2024 Accepting new patients
Cloud Health Medical Group, P.a. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lynda.masco@org169.direct.charmhealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1592179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594252800000",
    "number": "1275158289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4993",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358154993",
            "telephone_number": "661-917-9136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 TANNAHILL DR SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358021935",
            "telephone_number": "661-917-9136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASCO",
        "first_name": "LYNDA",
        "middle_name": "JEAN",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-15",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-151950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2020; 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.