Stacie H Mason

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202005268 Issued in VA

Practice address

1717 Bellevue Ave
Richmond, VA 23227

Phone

(804) 401-0405

NPI assigned

Apr 22, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1240358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559692800000",
    "number": "1801030879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9101 WESLEYAN RD STE 100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462683103",
            "telephone_number": "800-603-6046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 BELLEVUE AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23227",
            "telephone_number": "804-401-0405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "650 N Jefferson St",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240161427",
            "country_code": "US",
            "telephone_number": "540-343-3484",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "650 N Jefferson St",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240161427",
            "country_code": "US",
            "telephone_number": "540-343-3484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASON",
        "first_name": "STACIE",
        "middle_name": "H",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-22",
        "last_updated": "2019-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202005268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Mason
• Michael J Mason, PH.D.
• Nicole Denise Mason
• Patricia Ann Mason
• Semon Mason
• Tanee D Mason
• Taylor Mason
• Masonic Home of Virginia
• Ali K Masood, MD
• Karim Richard Masri, M.D.

• Speech-Language Pathologist in Richmond, VA
• Providers in Richmond, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; 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.