Individual provider Active NPI

Cassandra Maria Vanbibber

  • Technician/Technologist
  • Sterling Heights, MI
National Provider Identifier
1003451899
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Technician/TechnologistTaxonomy code 156F00000X
Practice address
33464 Schoenherr Rd Ste 180
Sterling Heights, MI 48312-6392
Phone
(586) 999-5971
Fax
(248) 712-4381
NPI assigned
Nov 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Technician/Technologist 156F00000X Primary
Behavior Technician 106S00000X

Addresses

Primary practice location

33464 Schoenherr Rd Ste 180
Sterling Heights, MI 48312-6392

Mailing address

33464 Schoenherr Rd Ste 180
Sterling Heights, MI 48312-6392
Phone (586) 999-5971

Other practice location 1

3601 E 11 Mile Rd
Warren, MI 48092-2878
Phone (303) 989-8169

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1573776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1003451899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33464 SCHOENHERR RD STE 180",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483126392",
            "telephone_number": "586-999-5971",
            "fax_number": "248-712-4381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33464 SCHOENHERR RD STE 180",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483126392",
            "telephone_number": "586-999-5971",
            "fax_number": "248-712-4381"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3601 E 11 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "MI",
            "postal_code": "480922878",
            "country_code": "US",
            "telephone_number": "303-989-8169",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANBIBBER",
        "first_name": "CASSANDRA",
        "middle_name": "MARIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-15",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156F00000X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.