Individual provider Active NPI

Anastasia J Herbert, FNP

  • Family Nurse Practitioner
  • Knightdale, NC
National Provider Identifier
1740469691
Registry record updated Oct 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
183266 Issued in NC
Practice address
1005 Big Oak CT
Knightdale, NC 27545-6565
Phone
(919) 266-5669
Fax
(919) 488-1717
NPI assigned
Oct 29, 2007
Last updated
Oct 4, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 183266 NC Primary
Nurse Practitioner 363L00000X 183266 NC

Addresses

Primary practice location

1005 Big Oak CT
Knightdale, NC 27545-6565

Mailing address

260 Horizon Dr
Raleigh, NC 27615-4922
Phone (919) 488-0015

Other identifiers 1

IdentifierTypeStateIssuer
7004597MedicaidNC

Other names 1

  • Ms. Anastasia Joanne Masino Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20180713001014 NC Practitioner - Nurse Practitioner 5799031258 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
183266NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Duke Health Integrated Practice, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Growing Child Pediatrics Past Accepting new patients

Locations

500 Gateway Dr
Clayton, NC 27520
Phone (919) 488-0015

40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588

4709 Creekstone Dr
Ste 300
Durham, NC 27703
Phone (919) 660-5066

1005 Big Oak Ct
Knightdale, NC 27545
Phone (919) 266-5669

260 Horizon Dr
Raleigh, NC 27615
Phone (919) 488-0015

270 Horizon Dr
Raleigh, NC 27615
Phone (919) 845-0623

7990 Arco Corporate Dr
Ste 110
Raleigh, NC 27617
Phone (919) 544-5900

11130 Capital Blvd
Wake Forest, NC 27587
Phone (919) 488-4094

116 E Horton St
Zebulon, NC 27597
Phone (919) 269-2885

Interoperability endpoints

  • Direct secure messaging: aherbert400190@direct.medicine.duke.edu

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380844800000",
    "number": "1740469691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 HORIZON DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276154922",
            "telephone_number": "919-488-0015",
            "fax_number": "919-277-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 BIG OAK CT",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275456565",
            "telephone_number": "919-266-5669",
            "fax_number": "919-488-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERBERT",
        "first_name": "ANASTASIA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-29",
        "last_updated": "2013-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "183266",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "183266",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7004597",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANASTASIA",
            "last_name": "MASINO",
            "middle_name": "JOANNE",
            "prefix": "MS.",
            "credential": "RN, BSN, MSN, FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Knightdale, NC

Sources for this page

Verify at the official NPI Registry.