Individual provider Active NPI

Deena M Masciocchi, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Langhorne, PA
National Provider Identifier
1366798431
Registry record updated Jan 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP012107 Issued in PA
Practice address
606 Corporate Dr W
Langhorne, PA 19047-8013
Phone
(267) 971-8949
NPI assigned
Jul 26, 2012
Last updated
Jan 14, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN578232 PA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP012107 PA Primary

Addresses

Primary practice location

606 Corporate Dr W
Langhorne, PA 19047-8013

Mailing address

874 W Maple Dr
Southampton, PA 18966-4210

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
RN578232PAMDRegistered Nurse
SP012107PAMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1343260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515888000000",
    "number": "1366798431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "874 W MAPLE DR",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189664210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 CORPORATE DR W",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190478013",
            "telephone_number": "267-971-8949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASCIOCCHI",
        "first_name": "DEENA",
        "middle_name": "M",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-26",
        "last_updated": "2018-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN578232",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP012107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Langhorne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2018; 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.