KELLY CASSEDY MASON FNP NPI 1346430691

NPI Information

NPI: 1346430691
Provider Name: KELLY CASSEDY MASON, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
2645 MERIDIAN PKWY STE 323
DURHAM, NC
ZIP 27713
Phone: (984) 227-8902
Get Directions

Kelly Cassedy Mason, FNP is a family nurse practitioner in Durham, NC. Kelly Cassedy Mason, FNP NPI is 1346430691. 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:

2645 MERIDIAN PKWY STE 323
DURHAM, NC
ZIP 27713-232
Phone: (984) 227-8902

The NPI 1346430691 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 8/1/2007 and was last updated on 3/17/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		124340	GEORGIA	No
2	363LF0000X	Nurse Practitioner	Family	124340	GEORGIA	No
3	363LF0000X	Nurse Practitioner	Family	5008052	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	005599973A	MEDICAID	GEORGIA

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

NPI Synchronization or Removal

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