Individual provider Active NPI

Carol Denise Mason, WHNP-BC

  • Women's Health Nurse Practitioner
  • Mobile, AL
National Provider Identifier
1699401307
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
1-33058 Issued in AL
Practice address
466 Michigan Ave
Mobile, AL 36604-1960
Phone
(160) 162-2875
NPI assigned
Jul 26, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 1-33058 AL Primary

Addresses

Primary practice location

466 Michigan Ave
Mobile, AL 36604-1960

Mailing address

62200 Westend Blvd Apt 8103
Slidell, LA 70461-5631
Phone (601) 622-8757

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230627000891 OR Practitioner - Nurse Practitioner 7810355682 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-33058ALMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nisha Jackson PC CurrentSince Jun 13, 2023 Accepting new patients
Onepeak Southern Oregon PC CurrentSince Jun 13, 2023 Accepting new patients

Locations

1325 NE 7th St
Grants Pass, OR 97526
Phone (541) 460-5331

3265 Hillcrest Park Dr
Medford, OR 97504
Phone (541) 275-6655

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1658793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1699401307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62200 WESTEND BLVD APT 8103",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704615631",
            "telephone_number": "601-622-8757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "466 MICHIGAN AVE",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366041960",
            "telephone_number": "160-162-2875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "CAROL",
        "middle_name": "DENISE",
        "name_prefix": "Ms.",
        "credential": "WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-26",
        "last_updated": "2022-07-26",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "AL",
            "license": "1-33058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.