Individual provider Active NPI

Randee Lea Masciola, NP

  • Obstetrics & Gynecology Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1982609301
Registry record updated May 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
NP04687 Issued in OH
Practice address
921B Jasonway Ave
Columbus, OH 43214-2330
Phone
(614) 268-8800
Fax
(614) 447-8876
NPI assigned
Jun 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X NP04687 OH Primary

Addresses

Primary practice location

921B Jasonway Ave
Columbus, OH 43214-2330

Mailing address

921B Jasonway Ave
Columbus, OH 43214-2330
Phone (614) 268-8800

Other identifiers 1

IdentifierTypeStateIssuer
2155313MedicaidOH

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP04687OHMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation PastSince Apr 1, 2013 Accepting new patients
Professionals for Womens Health Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: randee.masciola.1@87.direct.athenahealth.com

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": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337644800000",
    "number": "1982609301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921B JASONWAY AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432142330",
            "telephone_number": "614-268-8800",
            "fax_number": "614-447-8876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921B JASONWAY AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432142330",
            "telephone_number": "614-268-8800",
            "fax_number": "614-447-8876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASCIOLA",
        "first_name": "RANDEE",
        "middle_name": "LEA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-14",
        "last_updated": "2012-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "OH",
            "license": "NP04687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2155313",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; 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.