Debra Jean Massaro, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024174335 Issued in VA

Practice address

13199 Centerpointe Way
Woodbridge, VA 22193-5284

Phone

(540) 449-6077

NPI assigned

Jan 17, 2017

Last updated

Jul 17, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Debra Jean Massaro Professional name

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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

• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  VA

  Medicare reassignment NPD

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

{
    "created_epoch": "1484611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1578009346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17200 RIFFLE FORD RD",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208742915",
            "telephone_number": "154-044-9607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13199 CENTERPOINTE WAY",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221935284",
            "telephone_number": "540-449-6077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSARO",
        "first_name": "DEBRA",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-17",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024174335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0024174335",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBRA",
            "last_name": "MASSARO",
            "middle_name": "JEAN",
            "prefix": "DR.",
            "credential": "NP-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Maryam Home Health LLC
• Maryland Psychiatric Care, LLC
• Nader Marzban, MD
• Christine Mason, DNP
• Masoom M Kandahari MD PC (Cancer and Blood Specialists of Northern VA PC)
• Nicholas James Masterson
• Samantha Leslie Matesic, LMHC
• Russell Hale Mattern, OD
• Sarah Elizabeth Matthews, OT
• Kimberly Mattison

• Family Nurse Practitioner in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.