Individual provider Active NPI

Franklin Thomas Masteller

  • Community Health Worker
  • Shoreline, WA
National Provider Identifier
1396259123
Registry record updated Dec 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Practice address
16715 Aurora Ave N Ste 102
Shoreline, WA 98133-5310
Phone
(206) 546-9766
NPI assigned
Dec 1, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X Primary

Addresses

Primary practice location

16715 Aurora Ave N Ste 102
Shoreline, WA 98133-5310

Mailing address

16715 Aurora Ave N Ste 102
Shoreline, WA 98133-5310
Phone (206) 546-9766

Other identifiers 1

IdentifierTypeStateIssuer
115260201OtherWADSHS, PROVIDERONE

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

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutic Health Services Past Accepting new patients
Therapeutic Health Services PastSince Aug 23, 2020 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1512086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512086400000",
    "number": "1396259123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16715 AURORA AVE N STE 102",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981335310",
            "telephone_number": "206-546-9766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16715 AURORA AVE N STE 102",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981335310",
            "telephone_number": "206-546-9766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTELLER",
        "first_name": "FRANKLIN",
        "middle_name": "THOMAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-01",
        "last_updated": "2017-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DSHS, PROVIDERONE",
            "identifier": "115260201",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shoreline, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2017; 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.