Active NPI
Monica Masterson, ACNPC-AG
- Acute Care Nurse Practitioner
- Nashville, TN
National Provider Identifier
1396188058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 17342
- 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, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 95022485 | CA | MD | Acute Care Nurse Practitioner |
| 17342 | TN | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington Institute of Dermatologic Laser Surgery | Past | 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.
-
- Dermatology Physician
- Washington, DC
- NPI 1124600887
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.