Individual provider Active NPI

Monica Leah Mason, FNP-BC

  • Family Nurse Practitioner
  • Charleston, WV
National Provider Identifier
1528290087
Registry record updated Feb 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN60712-NP Issued in WV
Practice address
601 Brooks St
Charleston, WV 25301-1319
Phone
(304) 346-8877
Fax
(304) 414-5218
NPI assigned
Aug 18, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN60712-NP WV Primary

Addresses

Primary practice location

601 Brooks St
Charleston, WV 25301-1319

Mailing address

601 Brooks St
Charleston, WV 25301-1319
Phone (304) 346-8877

Other names 1

  • Miss Monica Leah McCallister Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address monica.mason.1@19259.direct.athenahealth.com

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
APRN60712-NPWVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kanawha County Emergency Ambulance Authority Current Accepting new patients
City of Charleston W V Current Accepting new patients
Cardiology Consultants, LTD Past Accepting new patients

Locations

601 Brooks St
Charleston, WV 25301
Phone (304) 345-2312

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19259/brand/1/csg/1/fhir/r4
  • Direct secure messaging: monica.mason.1@19259.direct.athenahealth.com

Organizations & group practices 3

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": "1250553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646006400000",
    "number": "1528290087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 BROOKS ST",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253011319",
            "telephone_number": "304-346-8877",
            "fax_number": "304-414-5218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 BROOKS ST",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253011319",
            "telephone_number": "304-346-8877",
            "fax_number": "304-414-5218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "MONICA",
        "middle_name": "LEAH",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-18",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "APRN60712-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "monica.mason.1@19259.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "601 Brooks St",
            "city": "Charleston",
            "state": "WV",
            "country_code": "US",
            "postal_code": "253011319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MONICA",
            "last_name": "MCCALLISTER",
            "middle_name": "LEAH",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; 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.