NPI Code Detail JSON Logo

1285925644 NPI number — AMANDA KING MASON M.D., PH.D.

NPI Number: 1285925644
Health Care Provider/Practitioner: AMANDA KING MASON M.D., PH.D.

Information about “1285925644” NPI (AMANDA KING MASON M.D., PH.D.) exists in 1285925644 in HTML format HTML  |  1285925644 in plain Text format TXT  |  1285925644 in PDF (Portable Document Format) PDF  |  1285925644 in an XML format XML  formats.

NPI Number : 1285925644 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1285925644",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MASON",
    "FirstName": "AMANDA",
    "MiddleName": "KING",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "M.D., PH.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "KING",
    "OtherFirstName": "AMANDA",
    "OtherMiddleName": "CHRISTINE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "200 FORBES ST STE 200",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ANNAPOLIS",
    "MailingAddressStateName": "MD",
    "MailingAddressPostalCode": "21401-1599",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "410-263-6363",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "200 FORBES STREET",
    "SecondLinePracticeLocationAddress": "SUITE 200",
    "PracticeLocationAddressCityName": "ANNAPOLIS",
    "PracticeLocationAddressStateName": "MD",
    "PracticeLocationAddressPostalCode": "21401",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "410-263-6363",
    "PracticeLocationAddressFaxNumber": "410-263-4086",
    "EnumerationDate": "04/20/2011",
    "LastUpdateDate": "05/22/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "208000000X",
        "TaxonomyName": "Pediatrics Physician",
        "LicenseNumber": "D0078768",
        "LicenseNumberStateCode": "MD",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2025 Data Labs Health. All rights reserved.