Active NPI
Mary Claire Masson, NP
- Primary Care Nurse Practitioner
- Colchester, VT
National Provider Identifier
1669614368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 101-0020076
- 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, 2009
- 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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 101-0020076 | VT | MD | School Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New 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.
-
dba St Michaels Rescue
- Land Ambulance
- Colchester, VT
- NPI 1740263185
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.