Active NPI
Linda Louise Mascolo, CNS,APRN
- Nurse Practitioner
- Derby, CT
National Provider Identifier
1366598757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 003252
- Practice address
- 378 Hawthorne Ave
Derby, CT 06418-1047 - Phone
- (203) 736-0681
- Fax
- (203) 736-0681
- NPI assigned
- Jan 26, 2007
- Last updated
- Oct 11, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 003252 | CT | Primary |
Addresses
Primary practice location
378 Hawthorne Ave
Derby, CT 06418-1047
Mailing address
378 Hawthorne Ave
Derby, CT 06418-1047
Phone (203) 736-0681
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)
- Enrolled
- Credentials
- Certified Nurse Specialist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003252 | CT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349913600000",
"number": "1366598757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "378 HAWTHORNE AVE",
"city": "DERBY",
"state": "CT",
"postal_code": "064181047",
"telephone_number": "203-736-0681",
"fax_number": "203-736-0681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "378 HAWTHORNE AVE",
"city": "DERBY",
"state": "CT",
"postal_code": "064181047",
"telephone_number": "203-736-0681",
"fax_number": "203-736-0681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASCOLO",
"first_name": "LINDA",
"middle_name": "LOUISE",
"name_prefix": "Mrs.",
"credential": "CNS,APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-26",
"last_updated": "2012-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CT",
"license": "003252",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Derby, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.