Active NPI
Kathleen Masterson
- Contractor
- Cape Coral, FL
National Provider Identifier
1720324585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- Practice address
- 3714 SW 12TH PL
Cape Coral, FL 33914-5115 - Phone
- (239) 220-0720
- Fax
- (239) 220-5525
- NPI assigned
- Dec 26, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | Primary |
Addresses
Primary practice location
3714 SW 12TH PL
Cape Coral, FL 33914-5115
Mailing address
3714 SW 12TH PL
Cape Coral, FL 33914-5115
Phone (239) 220-0720
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mobile Diagnostic Services, LLC | Contractor | 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 and National Provider Directory roles.
-
- Contractor
- Cape Coral, FL
- NPI 1528305190
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1356480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359072000000",
"number": "1720324585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3714 SW 12TH PL",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339145115",
"telephone_number": "239-220-0720",
"fax_number": "239-220-5525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3714 SW 12TH PL",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339145115",
"telephone_number": "239-220-0720",
"fax_number": "239-220-5525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASTERSON",
"first_name": "KATHLEEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-26",
"last_updated": "2013-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cape Coral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.