Alicia Danyce Mason, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4704291445 Issued in MI

Practice address

880 Parsons Rd
Traverse City, MI 49686-3622

Phone

(231) 922-6416

Fax

(231) 922-6472

NPI assigned

Dec 6, 2012

Last updated

Mar 26, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Enrolled

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

{
    "created_epoch": "1354752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395792000000",
    "number": "1386989077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 LAFRANIER RD",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496868972",
            "telephone_number": "231-995-6111",
            "fax_number": "231-995-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 PARSONS RD",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496863622",
            "telephone_number": "231-922-6416",
            "fax_number": "231-922-6472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "ALICIA",
        "middle_name": "DANYCE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-06",
        "last_updated": "2014-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704291445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathrine Mae Martinez
• Kathryn J Marusarz
• Marion Marxer
• Mary Free Bed Orthotics and Prosthetics
• Mary Klemens MD PLLC (mary rose clifton md)
• Cari J Mason, LLMSW
• Steven T Mast, MD
• Jessica Mastbergen, NP
• Ashley Master, TLLP
• Leah Christine Masters, LMSW

• Nurse Practitioner in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2014; 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.