Active NPI
Laurel Mae Mason, RN
- Health Educator
- Flora, IL
National Provider Identifier
1659070753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- Practice address
- 911 Stacey Burk Dr
Flora, IL 62839-3241 - Phone
- (618) 662-2131
- Fax
- (618) 662-1436
- NPI assigned
- Feb 27, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 174H00000X | Primary | ||
| Health & Wellness Coach | 171400000X |
Addresses
Primary practice location
911 Stacey Burk Dr
Flora, IL 62839-3241
Mailing address
911 Stacey Burk Dr
Flora, IL 62839-3241
Phone (618) 662-2131
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
- Credentials
- Registered Nurse
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677456000000",
"number": "1659070753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "911 STACEY BURK DR",
"city": "FLORA",
"state": "IL",
"postal_code": "628393241",
"telephone_number": "618-662-2131",
"fax_number": "618-662-1436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "911 STACEY BURK DR",
"city": "FLORA",
"state": "IL",
"postal_code": "628393241",
"telephone_number": "618-662-2131",
"fax_number": "618-662-1436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASON",
"first_name": "LAUREL",
"middle_name": "MAE",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-27",
"last_updated": "2023-02-27",
"certification_date": "2023-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": true
},
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flora, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.