Deborah Susan Mason-Tarr, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

KY-1418 Issued in KY

Practice address

1528 Lone Oak Rd
Paducah, KY 42003-7901

Phone

(270) 415-3888

Fax

(270) 415-3896

NPI assigned

Nov 22, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1290384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290384000000",
    "number": "1528360633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1528 LONE OAK RD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420037901",
            "telephone_number": "270-415-3888",
            "fax_number": "270-415-3896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1528 LONE OAK RD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420037901",
            "telephone_number": "270-415-3888",
            "fax_number": "270-415-3896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON-TARR",
        "first_name": "DEBORAH",
        "middle_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-22",
        "last_updated": "2010-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "KY",
            "license": "KY-1418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Brooke Martin, APRN-CNP
• Madison Jo Martin, APRN
• Meredith Suzanne Martin, MS, CCC-SLP
• William Gregory Martin, O.D.
• Anna Miria Martz, APRN
• Briana Mason, CSW, MSW
• Kayla Mason, MD
• Robert P Masse, R.N., A.R.N.P
• Grant Mathis, PHARM.D.
• Emma Caroline Mattingly, M.ED., LPCC

• Registered Dietitian in Paducah, KY
• Providers in Paducah, KY by specialty
• Registered Dietitian in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2010; 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.