Active NPI
Jaylan Mason
- Licensed Practical Nurse
- Columbus, OH
National Provider Identifier
1457954372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- LPN.167206.MEDS-IV
- Practice address
- 20 S 3Rd St
Columbus, OH 43215-4206 - Phone
- (614) 532-8744
- Fax
- (614) 532-8167
- NPI assigned
- Nov 21, 2020
- Last updated
- Nov 21, 2020
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LPN.167206.MEDS-IV | OH | Primary |
Addresses
Primary practice location
20 S 3Rd St
Columbus, OH 43215-4206
Mailing address
385 Kasons Way
Gahanna, OH 43230-6295
Phone (614) 584-8556
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 |
|---|---|---|---|
| LPN.167206.MEDS-IV | OH | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605916800000",
"number": "1457954372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "385 KASONS WAY",
"city": "GAHANNA",
"state": "OH",
"postal_code": "432306295",
"telephone_number": "614-584-8556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 S 3RD ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432154206",
"telephone_number": "614-532-8744",
"fax_number": "614-532-8167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASON",
"first_name": "JAYLAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-21",
"last_updated": "2020-11-21",
"certification_date": "2020-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "LPN.167206.MEDS-IV",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.