Active NPI
Vicki Ann Mason, OT/L
- Occupational Therapist
- Edmonds, WA
National Provider Identifier
1790039170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 00003215
- Practice address
- 8500 200TH St SW
Edmonds, WA 98026-6627 - Phone
- (425) 431-3055
- Fax
- (425) 431-7511
- NPI assigned
- Nov 6, 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 00003215 | WA | Primary |
Addresses
Primary practice location
8500 200TH St SW
Edmonds, WA 98026-6627
Mailing address
8500 200TH St SW
Edmonds, WA 98026-6627
Phone (425) 431-3055
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 |
|---|---|---|---|
| 00003215 | WA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352160000000",
"number": "1790039170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8500 200TH ST SW",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980266627",
"telephone_number": "425-431-3055",
"fax_number": "425-431-7511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8500 200TH ST SW",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980266627",
"telephone_number": "425-431-3055",
"fax_number": "425-431-7511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASON",
"first_name": "VICKI",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "OT/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-06",
"last_updated": "2012-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "00003215",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edmonds, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.