STACY MASTRO APRN NPI 1497284723

NPI Information

  • NPI: 1497284723
  • Provider Name: STACY MASTRO, APRN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 440 MORELAND AVE SE
    ATLANTA, GA
    ZIP 30316
  • Phone: (404) 688-9300

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NPI Details

Stacy Mastro, APRN is a family nurse practitioner in Atlanta, GA. Stacy Mastro, APRN NPI is 1497284723. 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:

440 MORELAND AVE SE
ATLANTA, GA
ZIP 30316-926
Phone: (404) 688-9300

The NPI 1497284723 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 6/9/2017 and was last updated on 11/1/2025.

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
1363LF0000XNurse PractitionerFamilyRN193501GEORGIAYes
2363LF0000XNurse PractitionerFamily8445321-4405UTAHNo
3363L00000XNurse Practitioner8445321-4405UTAHNo
4390200000XStudent in an Organized Health Care Education/Training ProgramNo

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: 11/21/2025

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