Active NPI
Jamie Lee Mastry, AU.D.
- Audiologist
- St. Petersburg, FL
National Provider Identifier
1689805533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AY1650
- Practice address
- 880 6TH Street South
Suite 170 All Children'S Hospital
St. Petersburg, FL 33710-2010 - Phone
- (727) 767-8989
- Fax
- (727) 767-8998
- NPI assigned
- Jul 27, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AY1650 | FL | Primary |
Addresses
Primary practice location
880 6TH Street South
Suite 170 All Children'S Hospital
St. Petersburg, FL 33710-2010
Mailing address
501 6TH Avenue South Dept.00-7750
All Children'S Hospital
St. Petersburg, FL 33710-2010
Phone (727) 767-8989
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AY1650 | Other | FL | AUDIOLOGIST |
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 |
|---|---|---|---|
| AY1650 | FL | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286409600000",
"number": "1689805533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 6TH AVENUE SOUTH DEPT.00-7750",
"address_2": "ALL CHILDREN'S HOSPITAL",
"city": "ST. PETERSBURG",
"state": "FL",
"postal_code": "337102010",
"telephone_number": "727-767-8989",
"fax_number": "727-767-8998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "880 6TH STREET SOUTH",
"address_2": "SUITE 170 ALL CHILDREN'S HOSPITAL",
"city": "ST. PETERSBURG",
"state": "FL",
"postal_code": "337102010",
"telephone_number": "727-767-8989",
"fax_number": "727-767-8998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASTRY",
"first_name": "JAMIE",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-27",
"last_updated": "2010-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "FL",
"license": "AY1650",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AUDIOLOGIST",
"identifier": "AY1650",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St. Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.