Individual provider Active NPI

Haley Ray Mason, AGPCNP-BC

  • Adult Health Nurse Practitioner
  • McKinney, TX
National Provider Identifier
1275205528
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
1056014 Issued in TX
Practice address
2301 Eldorado Pkwy Ste 100
McKinney, TX 75070-7527
Phone
(972) 330-4644
Fax
(972) 600-1272
NPI assigned
Oct 4, 2021
Last updated
Oct 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 1056014 TX
Adult Health Nurse Practitioner 363LA2200X 1056014 TX Primary

Addresses

Primary practice location

2301 Eldorado Pkwy Ste 100
McKinney, TX 75070-7527

Mailing address

11500 State Highway 121 Ste 320
Frisco, TX 75035-9346
Phone (214) 618-0048

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
1056014TXMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sameer Syed, MD, PA PastSince Oct 10, 2021 Accepting new patients
North Texas Vario Health Center, PLLC PastSince Oct 10, 2021 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1633305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1275205528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11500 STATE HIGHWAY 121 STE 320",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750359346",
            "telephone_number": "214-618-0048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 ELDORADO PKWY STE 100",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750707527",
            "telephone_number": "972-330-4644",
            "fax_number": "972-600-1272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "HALEY",
        "middle_name": "RAY",
        "name_prefix": "Mrs.",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-04",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "1056014",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "1056014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; 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.