Active NPI
Malessa Mason
- Pharmacist
- Knoxville, TN
National Provider Identifier
1396018297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 6099
- Practice address
- 4604 Kingston Pike
Knoxville, TN 37919-5230 - Phone
- (865) 588-0581
- Fax
- (865) 588-3338
- NPI assigned
- Feb 23, 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 6099 | TN | Primary |
Addresses
Primary practice location
4604 Kingston Pike
Knoxville, TN 37919-5230
Mailing address
4604 Kingston Pike
Knoxville, TN 37919-5230
Phone (865) 588-0581
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6099 | TN | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329955200000",
"number": "1396018297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4604 KINGSTON PIKE",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379195230",
"telephone_number": "865-588-0581",
"fax_number": "865-588-3338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4604 KINGSTON PIKE",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379195230",
"telephone_number": "865-588-0581",
"fax_number": "865-588-3338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASON",
"first_name": "MALESSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-23",
"last_updated": "2012-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "6099",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.