KRISTINA ROSE MASON


Address: 18501 Rotunda Dr, Dearborn, MI 48124-3891
Phone: 3139961951

KRISTINA ROSE MASON (NPI# 1043826092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043826092
Entity Type Individual
Full Name KRISTINA ROSE MASON
Practice Address 18501 Rotunda Dr
Dearborn
MI 48124-3891
Mailing Address 15211 Rosemary Blvd
Oak Park
MI 48237-1923
Practice Telephone 3139961951
Enumeration Date 2020-09-16
Last Update Date 2020-09-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
4704292047 MI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 18501 ROTUNDA DR
City DEARBORN
State MI
Zip Code 48124-3891

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790959120 Oakwood Youth Programs, LLC Physical Medicine & Rehabilitation 18501 Rotunda Dr, Ste 200, Dearborn, MI 48124-3891 2008-04-16
1801142278 Lauren Werner Speech-Language Pathologist 18501 Rotunda Dr, Dearborn, MI 48124-3891 2012-08-03
1548593353 Stephanie Lynn Pritula Nurse Practitioner 18501 Rotunda Dr, Suite 200, Dearborn, MI 48124-3891 2009-09-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396389524 Pharma A, LLC Pharmacy 23916 Michigan Ave, Dearborn, MI 48124 2019-10-31
1225683725 Aysha Said Behavior Technician 1369 Porter St, Dearborn, MI 48124 2019-08-02
1881257772 Leen Nusairat Internal Medicine Beaumont Health-dearborn Campus, 18101 Oakwood Blvd, Dearborn, MI 48124 2019-04-17
1417413360 Gary C. Veraghen, Dds, PC Dentist 22100 W. Outer Drive, Dearborn, MI 48124 2019-02-15
1982168787 Fnu Asma Manzar Physical Therapist Global Physical Therapy Services, Inc, 22819 Michigan Avenue, Dearborn, MI 48124 2019-01-25
1639640162 Jernia Lashawn Usher Behavior Technician 1360 Porter St Lower Level, Dearborn, MI 48124 2018-12-10
1710456470 Samar Fouad Hannawi Psychologist 3815 Pelham Street, Suite #13, Dearborn, MI 48124 2018-11-24
1881178747 Sarah Chehab Psychologist 835 Mason St Suite 220b, Dearborn, MI 48124 2018-09-17
1568948289 Ibrahim M Basma Pharmacist 22521 Michigan Avenue, Dearborn, MI 48124 2018-07-16
1669961942 Jacqueline E Domzalski Technician, Other 3231 S. Gulley, Suite E, Dearborn, MI 48124 2018-05-02
Find all providers in zip 48124

Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285120634 Alexandra Danko Nurse Practitioner 5500 Auto Club Dr Ste 160, Dearborn, MI 48126-2779 2018-07-09
1982239158 Alexa Christine Bidigare Nurse Practitioner 5901 Chase Rd Ste 110, Dearborn, MI 48126-0900 2020-03-09
1215570957 Ronia Berry Nurse Practitioner 6401 Miller Rd, Dearborn, MI 48126-2363 2019-10-25
1730661687 Jessica L Ott Nurse Practitioner 23351 Ford Rd, Dearborn, MI 48128-1258 2018-09-06
1588013973 Brooke Wanshon Nurse Practitioner 2331 Monroe St, Dearborn, MI 48124-3009 2016-06-07
1508138033 Leslie Marie Mofrad Nurse Practitioner 2331 Monroe St, Dearborn, MI 48124-3009 2012-01-30
1790079986 Kerri Ahern Bernard Nurse Practitioner 2845 Monroe St, Dearborn, MI 48124-3491 2011-06-05
1548593353 Stephanie Lynn Pritula Nurse Practitioner 18501 Rotunda Dr, Suite 200, Dearborn, MI 48124-3891 2009-09-10
1083858757 Tiffany Anna Harris Nurse Practitioner 2845 Monroe St, Dearborn, MI 48124-3491 2009-04-26
1285814574 Linda Corrine Chicko Nurse Practitioner 2331 Monroe St, Dearborn, MI 48124-3009 2007-11-05
Find all providers in DEARBORN

Competitor

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City DEARBORN
Zip Code 48124

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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