Kristin M Mascotti, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

41507 Issued in MN

Practice address

Children'S Hospitals and Clinics Pathology MPLS
2525 Chicago Avenue South
Minneapolis, MN 55404

Phone

(612) 813-6280

Fax

(612) 813-6951

NPI assigned

Aug 17, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409616000000",
    "number": "1669464566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CHILDREN'S HEALTH CARE",
            "address_2": "2910 CENTRE POINTE DRIVE 35-121A",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "55113",
            "telephone_number": "651-855-2109",
            "fax_number": "651-855-2310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CHILDREN'S HOSPITALS AND CLINICS PATHOLOGY MPLS",
            "address_2": "2525 CHICAGO AVENUE SOUTH",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55404",
            "telephone_number": "612-813-6280",
            "fax_number": "612-813-6951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASCOTTI",
        "first_name": "KRISTIN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-17",
        "last_updated": "2014-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MN",
            "license": "41507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "312523800",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Eileen Marzullo
• Lorraine Mascarenhas
• Sarah Elizabeth Masica
• Rohit Masih, M.D.
• Mats Steffi Jennifer Masilamani, MD
• Maskoffs LLC
• Natasha-Helena Kauioihilani Masloksi

• Anatomic Pathology & Clinical Pathology Physician in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Anatomic Pathology & Clinical Pathology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2014; 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.