Individual provider Active NPI

Monica Masterson, ACNPC-AG

  • Acute Care Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1396188058
Registry record updated Jan 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
17342 Issued in TN
Practice address
MCN Aa1204
1161 21St Avenue South
Nashville, TN 37232-0001
Phone
(615) 343-1465
NPI assigned
Apr 12, 2013
Last updated
Jan 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 95022485 CA
Acute Care Nurse Practitioner 363LA2100X 17342 TN Primary

Addresses

Primary practice location

MCN Aa1204
1161 21St Avenue South
Nashville, TN 37232-0001

Mailing address

14101 Marquesas Way Apt 4419
Marina del Rey, CA 90292-7463
Phone (615) 957-3350

Other practice location 1

2021 Santa Monica Blvd Ste 600E
Santa Monica, CA 90404-2166
Phone (310) 828-2282

Other practice location 2

1430 K St NW Ste 200
Washington, DC 20005-2554
Phone (202) 628-8855

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95022485CAMDAcute Care Nurse Practitioner
17342TNMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Institute of Dermatologic Laser Surgery PastSince Apr 25, 2021 Accepting new patients

Organizations & group practices 1

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": "1365724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673654400000",
    "number": "1396188058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14101 MARQUESAS WAY APT 4419",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902927463",
            "telephone_number": "615-957-3350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MCN AA1204",
            "address_2": "1161 21ST AVENUE SOUTH",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372320001",
            "telephone_number": "615-343-1465"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2021 Santa Monica Blvd Ste 600E",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904042166",
            "country_code": "US",
            "telephone_number": "310-828-2282",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1430 K St NW Ste 200",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200052554",
            "country_code": "US",
            "telephone_number": "202-628-8855",
            "fax_number": "202-628-8855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASTERSON",
        "first_name": "MONICA",
        "credential": "ACNPC-AG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-12",
        "last_updated": "2023-01-14",
        "certification_date": "2023-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95022485",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TN",
            "license": "17342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

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