Active NPI
Nadia Monica Al-Masri, M.S. CCC-SLP
- Speech-Language Pathologist
- Brookline, MA
National Provider Identifier
1881879062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 6130
- Practice address
- 1857 Beacon St # 3
Brookline, MA 02445-4205 - Phone
- (617) 277-1691
- NPI assigned
- Jan 7, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 6130 | MA | Primary |
Addresses
Primary practice location
1857 Beacon St # 3
Brookline, MA 02445-4205
Mailing address
1857 Beacon St # 3
Brookline, MA 02445-4205
Phone (617) 277-1691
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12064885 | Other | ASHA | |
| 6130 | Other | MA | MA STATE |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6130 | MA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199664000000",
"number": "1881879062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1857 BEACON ST # 3",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024454205",
"telephone_number": "617-277-1691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1857 BEACON ST # 3",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024454205",
"telephone_number": "617-277-1691"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AL-MASRI",
"first_name": "NADIA",
"middle_name": "MONICA",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-07",
"last_updated": "2008-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MA",
"license": "6130",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASHA",
"identifier": "12064885",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MA STATE",
"identifier": "6130",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brookline, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.