NPIMap

Organization Active NPI

Diana G. Masker, M.a., CCC

  • Speech-Language Pathologist
  • Melbourne, FL
National Provider Identifier
1932200722
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA 3134 Issued in FL
Legal business name
DIANA G. MASKER, M.A., CCC
Practice address
3040 N Wickham Rd
Suite 4
Melbourne, FL 32935-2369
Phone
(321) 751-1443
Fax
(321) 751-1448
NPI assigned
Sep 26, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Diana G. Masker, M.A., CCCNPI 1770593782
Title
Owner/Therapist
Phone
(321) 751-1443

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X SA 3134 FL Primary

Addresses

Primary practice location

3040 N Wickham Rd
Suite 4
Melbourne, FL 32935-2369

Mailing address

3040 N Wickham Rd
Suite 4
Melbourne, FL 32935-2369
Phone (321) 751-1443

Other identifiers 1

IdentifierTypeStateIssuer
S2743OtherFLBC/BS PROVIDER ID

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932200722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3040 N WICKHAM RD",
            "address_2": "SUITE 4",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329352369",
            "telephone_number": "321-751-1443",
            "fax_number": "321-751-1448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3040 N WICKHAM RD",
            "address_2": "SUITE 4",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329352369",
            "telephone_number": "321-751-1443",
            "fax_number": "321-751-1448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANA G. MASKER, M.A., CCC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MASKER",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "321-751-1443",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.A., CCC"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 3134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER ID",
            "identifier": "S2743",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.