Active NPI
Allison Margret Masse
- Lactation Consultant (Registered Nurse)
- Mattoon, IL
National Provider Identifier
1679052872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Registered Nurse)
- License
- L-141086
- Practice address
- 1000 Health Center Dr
Mattoon, IL 61938-9253 - Phone
- (217) 258-2229
- Fax
- (217) 258-2274
- NPI assigned
- Aug 8, 2018
- 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 |
|---|---|---|---|---|
| Lactation Consultant (Registered Nurse) | 163WL0100X | L-141086 | IL | Primary |
| Lactation Consultant (Registered Nurse) | 163WL0100X | 041310202 | IL |
Addresses
Primary practice location
1000 Health Center Dr
Mattoon, IL 61938-9253
Mailing address
12551 N County Road 900E
Humboldt, IL 61931-7825
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 |
|---|---|---|---|
| 041310202 | IL | MD | Lactation Consultant (Registered Nurse) |
| L-141086 | IL | MD | Lactation Consultant (Registered Nurse) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533686400000",
"number": "1679052872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12551 N COUNTY ROAD 900E",
"city": "HUMBOLDT",
"state": "IL",
"postal_code": "619317825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 HEALTH CENTER DR",
"city": "MATTOON",
"state": "IL",
"postal_code": "619389253",
"telephone_number": "217-258-2229",
"fax_number": "217-258-2274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASSE",
"first_name": "ALLISON",
"middle_name": "MARGRET",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-08",
"last_updated": "2018-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WL0100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Lactation Consultant",
"state": "IL",
"license": "L-141086",
"primary": true
},
{
"code": "163WL0100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Lactation Consultant",
"state": "IL",
"license": "041310202",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mattoon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.