Active NPI
Mary A Mascari, LPN
- Licensed Practical Nurse
- Pataskala, OH
National Provider Identifier
1649470246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- PN104017
- Practice address
- 24 W Woodfield
Pataskala, OH 43062-9464 - Phone
- (614) 905-7275
- NPI assigned
- Jul 20, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN104017 | OH | Primary |
| Phlebotomy Technician | 246RP1900X | PN104017 | OH |
Addresses
Primary practice location
24 W Woodfield
Pataskala, OH 43062-9464
Mailing address
24 W Woodfield
Pataskala, OH 43062-9464
Phone (614) 905-7275
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2125275 | Medicaid | OH |
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 |
|---|---|---|---|
| PN104017 | OH | MD | Phlebotomy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184889600000",
"number": "1649470246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 W WOODFIELD",
"city": "PATASKALA",
"state": "OH",
"postal_code": "430629464",
"telephone_number": "614-905-7275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 W WOODFIELD",
"city": "PATASKALA",
"state": "OH",
"postal_code": "430629464",
"telephone_number": "614-905-7275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASCARI",
"first_name": "MARY",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-20",
"last_updated": "2007-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "PN104017",
"primary": true
},
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": "OH",
"license": "PN104017",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2125275",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pataskala, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.