Mary Massar

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

91783 Issued in SC

Practice address

2670 Bonds Ave
North Charleston, SC 29405-7529

Phone

(843) 740-7441

Fax

(854) 800-4057

NPI assigned

Oct 25, 2021

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

Practice roles

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.

• Fetter Health Care Network, Inc

  • Federally Qualified Health Center (FQHC)
  • Summerville, SC
  • NPI 1174378707
  NPD (past)
• Fetter Health Care Network, Inc.

  • Federally Qualified Health Center (FQHC)
  • North Charleston, SC
  • NPI 1023754686
  NPD (past)

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

{
    "created_epoch": "1635120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1891459913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2670 BONDS AVE",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294057529",
            "telephone_number": "843-740-7441",
            "fax_number": "854-800-4057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2670 BONDS AVE",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294057529",
            "telephone_number": "843-740-7441",
            "fax_number": "854-800-4057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSAR",
        "first_name": "MARY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-25",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "SC",
            "license": "91783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert A Marwick, MD
• Abigail Louise Marx, PA-C
• Mary L Svendsen, PHD
• Christina Mae Mason
• Andrea Anne Massa, PHD
• Chandler Massengale, LISW-CP
• Kathleen Elizabeth Massey, RBT
• Lola C Massoglia, RN
• Rachael Joanna Massullo, LPN
• Courtney M Mathews

• School Registered Nurse in North Charleston, SC
• Providers in North Charleston, SC by specialty
• School Registered Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; 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.