Individual provider Active NPI

Bethanie Patricia Mason

  • School Registered Nurse
  • Kendall, NY
National Provider Identifier
1790139632
Registry record updated Apr 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
22681633 Issued in NY
Practice address
16887 Roosevelt Hwy
Kendall, NY 14476-9748
Phone
(585) 659-8958
Fax
(585) 659-8988
NPI assigned
Apr 18, 2016
Last updated
Apr 18, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 22681633 NY Primary

Addresses

Primary practice location

16887 Roosevelt Hwy
Kendall, NY 14476-9748

Mailing address

16887 Roosevelt Hwy
Kendall, NY 14476-9748
Phone (585) 659-8958

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

LicenseStateTypeSpecialty
22681633NYMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1460937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460937600000",
    "number": "1790139632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16887 ROOSEVELT HWY",
            "city": "KENDALL",
            "state": "NY",
            "postal_code": "144769748",
            "telephone_number": "585-659-8958",
            "fax_number": "585-659-8988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16887 ROOSEVELT HWY",
            "city": "KENDALL",
            "state": "NY",
            "postal_code": "144769748",
            "telephone_number": "585-659-8958",
            "fax_number": "585-659-8988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "BETHANIE",
        "middle_name": "PATRICIA",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-18",
        "last_updated": "2016-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "22681633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kendall, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.