Active NPI
Dermatology Solutions
- Dermatology Physician
- Kennewick, WA
National Provider Identifier
1417599374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- DERMATOLOGY SOLUTIONS
- Practice address
- 4309 W 27TH PL Ste 301
Kennewick, WA 99338-2909 - Phone
- (509) 303-3428
- Fax
- (509) 436-7271
- NPI assigned
- Oct 11, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christy Masterman, ARNP
- Title
- Owner, Nurse Practitioner
- Phone
- (509) 539-3698
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary |
Addresses
Primary practice location
4309 W 27TH PL Ste 301
Kennewick, WA 99338-2909
Mailing address
89825 Summit View Dr
Kennewick, WA 99338-2270
Phone (509) 303-3428
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4309 W 27th Pl
Kennewick, WA 99338
4309 W 27th Pl
Ste 301
Kennewick, WA 99338
Phone (509) 222-2231
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Kennewick, WA
- NPI 1841396413
-
- Nurse Practitioner
- Kennewick, WA
- NPI 1962248575
-
- Family Nurse Practitioner
- Richland, WA
- NPI 1598908576
-
- Nurse Practitioner
- Prosser, WA
- NPI 1205594082
-
- Family Nurse Practitioner
- Walla Walla, WA
- NPI 1477534972
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570752000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1683676800000",
"number": "1417599374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "89825 SUMMIT VIEW DR",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993382270",
"telephone_number": "509-303-3428",
"fax_number": "509-436-7271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4309 W 27TH PL STE 301",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993382909",
"telephone_number": "509-303-3428",
"fax_number": "509-436-7271"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DERMATOLOGY SOLUTIONS",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-11",
"last_updated": "2023-05-10",
"certification_date": "2023-05-10",
"status": "A",
"authorized_official_last_name": "MASTERMAN",
"authorized_official_first_name": "CHRISTY",
"authorized_official_title_or_position": "OWNER, NURSE PRACTITIONER",
"authorized_official_telephone_number": "509-539-3698",
"authorized_official_credential": "ARNP"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kennewick, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.