Individual provider Active NPI

Mary Claire Masson, NP

  • Primary Care Nurse Practitioner
  • Colchester, VT
National Provider Identifier
1669614368
Registry record updated Mar 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
101-0020076 Issued in VT
Practice address
One Winooski Park
St. Michael's College Student Health Services
Colchester, VT 05439
Phone
(802) 654-2234
Fax
(802) 654-2699
NPI assigned
Mar 27, 2009
Last updated
Mar 27, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 101-0020076 VT Primary
School Nurse Practitioner 363LS0200X 101-0020076 VT

Addresses

Primary practice location

One Winooski Park
St. Michael's College Student Health Services
Colchester, VT 05439

Mailing address

Box 259 One Winooski Park
St. Michael's College Student Health Services
Colchester, VT 05439
Phone (802) 654-2234

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
101-0020076VTMDSchool Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Michaels College Fire and Rescue Inc Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1238112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238112000000",
    "number": "1669614368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BOX 259 ONE WINOOSKI PARK",
            "address_2": "ST. MICHAEL'S COLLEGE STUDENT HEALTH SERVICES",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "05439",
            "telephone_number": "802-654-2234",
            "fax_number": "802-654-2699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE WINOOSKI PARK",
            "address_2": "ST. MICHAEL'S COLLEGE STUDENT HEALTH SERVICES",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "05439",
            "telephone_number": "802-654-2234",
            "fax_number": "802-654-2699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSON",
        "first_name": "MARY",
        "middle_name": "CLAIRE",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-27",
        "last_updated": "2009-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "VT",
            "license": "101-0020076",
            "primary": true
        },
        {
            "code": "363LS0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, School",
            "state": "VT",
            "license": "101-0020076",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colchester, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2009; 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.