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KATHLEEN MASELLA R.N. AGNP-C NPI 1043752918


NPI Information

NPI: 1043752918
Provider Name: KATHLEEN MASELLA, R.N., AGNP-C
Classification: Registered Nurse - 163WG0000X
Entity Type: Individual

Specialization: General Practice

PECOS Registration: Yes

Address:
1101 S STATE ST
603
CHICAGO, IL
ZIP 60605
Phone: (773) 230-8726
Get Directions

Kathleen Masella, R.N., AGNP-C is a general practice registered nurse in Chicago, IL with 9 years of experience. Kathleen Masella, R.N., AGNP-C NPI is 1043752918. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1101 S STATE ST
603
CHICAGO, IL
ZIP 60605-175
Phone: (773) 230-8726
Fax: (224) 610-7096

The NPI 1043752918 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/9/2016 and was last updated on 11/9/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1163WG0000XRegistered NurseGeneral Practice209.015111ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.