Lori Masterson, M.S., PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9101239 Issued in FL

Practice address

400 S Dixie Hwy
Suite 411
Boca Raton, FL 33432-5518

Phone

(561) 922-6595

Fax

(561) 244-0506

NPI assigned

Oct 19, 2010

Last updated

Oct 19, 2010By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Physician Assistant

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EICJAD

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.

• Florida Medical House Calls

  • Internal Medicine Physician
  • Boca Raton, FL
  • NPI 1568780930
  NPD (past)
• Integrated Medical Direction

  • Internal Medicine Physician
  • Village of Golf, FL
  • NPI 1497825244
  NPD (past)
• On-Site Wound Consultants P.a

  • Specialist
  • Village of Golf, FL
  • NPI 1932518081
  NPD (past)

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

{
    "created_epoch": "1287446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287446400000",
    "number": "1679883060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 MAGLIANO DR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334361106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S DIXIE HWY",
            "address_2": "SUITE 411",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334325518",
            "telephone_number": "561-922-6595",
            "fax_number": "561-244-0506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTERSON",
        "first_name": "LORI",
        "credential": "M.S., PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-19",
        "last_updated": "2010-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9101239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mandy Leigh Massarella, PT
• Heraldine Jesah Rous Massari
• Kathy L Masseo
• Diane J Massucci, DNP, ANP-BC
• Master It Behavior Therapy of Florida
• Therese Mastrangelo
• Yilian Isora Mastrapa
• Jose R. Mateo-Contreras, M.D.
• Mitchell F Matez, DO
• Jacquie Lynn Mathai, PA-C

• Physician Assistant in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2010; 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.