Active NPI
Shauna Leigh Mason
- Student in an Organized Health Care Education/Training Program
- Nampa, ID
National Provider Identifier
1912553306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- TSLP-3994
- Practice address
- 2609 Sunnybrook Dr
Nampa, ID 83686-6332 - Phone
- (208) 467-7298
- NPI assigned
- Aug 13, 2019
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | TSLP-3994 | ID | Primary |
Addresses
Primary practice location
2609 Sunnybrook Dr
Nampa, ID 83686-6332
Mailing address
1736 N Eldorado St
Boise, ID 83704-7403
Phone (714) 269-1009
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TSLP-3994 | ID | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565654400000",
"number": "1912553306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1736 N ELDORADO ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837047403",
"telephone_number": "714-269-1009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2609 SUNNYBROOK DR",
"city": "NAMPA",
"state": "ID",
"postal_code": "836866332",
"telephone_number": "208-467-7298"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASON",
"first_name": "SHAUNA",
"middle_name": "LEIGH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-13",
"last_updated": "2019-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "ID",
"license": "TSLP-3994",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nampa, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.