Individual provider Active NPI

Jasmine K Mason, NP-C

  • Family Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1801339403
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000021195 Issued in TN
Practice address
281 N Lyerly St Ste 200
Chattanooga, TN 37404-2746
Phone
(423) 698-0850
Fax
(423) 698-0511
NPI assigned
Nov 30, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN0000021195 TN Primary

Addresses

Primary practice location

281 N Lyerly St Ste 200
Chattanooga, TN 37404-2746

Mailing address

281 N Lyerly St Ste 200
Chattanooga, TN 37404-2746
Phone (423) 698-0850

Other practice location 1

4957 Swinyar Dr Ste 101
Ooltewah, TN 37363-2205
Phone (423) 362-7777

Other practice location 2

862 Callen Lane NW
Suite 110
Cleveland, TN 37312
Phone (423) 331-5025

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20170525000136 TN Practitioner - Nurse Practitioner 4486921392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

281 N Lyerly St
Suite 200
Chattanooga, TN 37404-2728
Phone (423) 698-0850

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN0000021195TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Specialists in Pain Management, PLLC Dba Spine & Pain Associates CurrentSince Aug 29, 2022 Accepting new patients
Specialists in Pain Management, PLLC Dba Spine & Pain Associates CurrentSince Aug 29, 2022 Accepting new patients

Locations

281 N Lyerly St
Ste 200
Chattanooga, TN 37404
Phone (423) 698-0850

862 Callen Ln NW
Ste 110
Cleveland, TN 37312
Phone (423) 331-5025

101 Med Tech Pkwy
Ste 200
Johnson City, TN 37604
Phone (423) 232-6120

4957 Swinyar Dr
Ste 101
Ooltewah, TN 37363
Phone (423) 362-7777

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1480464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1801339403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 N LYERLY ST STE 200",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374042746",
            "telephone_number": "423-698-0850",
            "fax_number": "423-698-0511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 N LYERLY ST STE 200",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374042746",
            "telephone_number": "423-698-0850",
            "fax_number": "423-698-0511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4957 Swinyar Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Ooltewah",
            "state": "TN",
            "postal_code": "373632205",
            "country_code": "US",
            "telephone_number": "423-362-7777",
            "fax_number": "423-362-7778",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "862 Callen Lane NW",
            "address_2": "Suite 110",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "TN",
            "postal_code": "37312",
            "country_code": "US",
            "telephone_number": "423-331-5025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASON",
        "first_name": "JASMINE",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-30",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000021195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.