Individual provider Active NPI

Alexandria Marie Mason, PMHNP

  • Nurse Practitioner
  • Attleboro, MA
National Provider Identifier
1962035303
Registry record updated Feb 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2339365 Issued in MA
Practice address
200 May St
Attleboro, MA 02703-5520
Phone
(508) 838-2212
NPI assigned
Feb 13, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2339365 MA Primary

Addresses

Primary practice location

200 May St
Attleboro, MA 02703-5520

Mailing address

PO Box 542
Watkinsville, GA 30677-0014
Phone (770) 715-5109

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200506000935 GA Practitioner - Nurse Practitioner 5991136053 Reassigns benefits to 1 organization
I20201030000104 GA Practitioner - Psychiatry 5991136053 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2339365MAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Behavioral Health, P.C. CurrentSince Mar 29, 2020 Accepting new patients
Personal Recovery Network LLC CurrentSince Aug 27, 2020 Accepting new patients

Locations

508 N Main St
Ste A
Hinesville, GA 31313
Phone (912) 785-2100

250 Corporate Center Ct
Stockbridge, GA 30281
Phone (770) 954-8685

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": "1581552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1962035303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 542",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306770014",
            "telephone_number": "770-715-5109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MAY ST",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027035520",
            "telephone_number": "508-838-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "ALEXANDRIA",
        "middle_name": "MARIE",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-13",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "2339365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Attleboro, MA

Sources for this page

Verify at the official NPI Registry.