Active NPI
Sadie Mason
- Gerontology Nurse Practitioner
- Auburn, AL
National Provider Identifier
1730798604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- AG0117061
- Practice address
- 665 Opelika Rd Ste 200
Auburn, AL 36830-4086 - Phone
- (334) 458-9256
- NPI assigned
- Jul 27, 2020
- 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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | AG0117061 | AL | Primary |
Addresses
Primary practice location
665 Opelika Rd Ste 200
Auburn, AL 36830-4086
Mailing address
541 Forestdale Dr
Auburn, AL 36830-6005
Phone (256) 318-8866
Other practice location 1
541 Forestdale Dr
Auburn, AL 36830-6005
Phone (256) 318-8866
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AG0117061 | AL | MD | Gerontology Nurse Practitioner |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595894400000",
"number": "1730798604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "541 FORESTDALE DR",
"city": "AUBURN",
"state": "AL",
"postal_code": "368306005",
"telephone_number": "256-318-8866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "665 OPELIKA RD STE 200",
"city": "AUBURN",
"state": "AL",
"postal_code": "368304086",
"telephone_number": "334-458-9256"
}
],
"practiceLocations": [
{
"address_1": "541 Forestdale Dr",
"address_purpose": "LOCATION",
"city": "Auburn",
"state": "AL",
"postal_code": "368306005",
"country_code": "US",
"telephone_number": "256-318-8866",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MASON",
"first_name": "SADIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-27",
"last_updated": "2020-07-28",
"certification_date": "2020-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Gerontology",
"state": "AL",
"license": "AG0117061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Auburn, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.