Individual provider Active NPI

Cassandra Stark

  • Women's Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1033506936
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
0991661 Issued in CO
Practice address
165 Broadway FL 23
New York, NY 10006-1452
Phone
(888) 731-8994
NPI assigned
Apr 20, 2015
Last updated
Aug 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 0991661 CO Primary

Addresses

Primary practice location

165 Broadway FL 23
New York, NY 10006-1452

Mailing address

139 Centre St PH 120
New York, NY 10013-4559
Phone (888) 731-8994

Other practice location 1

700 Main St Ste 3
Bangor, ME 04401-6800
Phone (888) 731-8994

Other practice location 2

999 18th St Ste 3000
Denver, CO 80202-2449
Phone (888) 731-8994

Other practice location 3

867 Boylston St Fl 5
Boston, MA 02116-2774
Phone (914) 919-9200

Other practice location 4

1050 SW 6th Ave Ste 1100
Portland, OR 97204-1153
Phone (888) 731-8994

Other practice location 5

One Sun Plaza, 100 Sun Ave
Suite 650
Albuquerque, NM 87109
Phone (888) 731-8994

Other practice location 6

173 Saint Patricks Dr Ste 104
Waldorf, MD 20603-5530
Phone (888) 731-8994

Other practice location 7

100 Cambridge St Fl 14
Boston, MA 02114-2509
Phone (888) 731-8994

Other practice location 8

14355 Miranda Way
Los Altos Hills, CA 94022-2032
Phone (888) 731-8994

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0991661COMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Womens Care PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cassandra.stark.1@27069.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1033506936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 CENTRE ST PH 120",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134559",
            "telephone_number": "888-731-8994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 BROADWAY FL 23",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100061452",
            "telephone_number": "888-731-8994"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Main St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Bangor",
            "state": "ME",
            "postal_code": "044016800",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "999 18th St Ste 3000",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802022449",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "867 Boylston St Fl 5",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021162774",
            "country_code": "US",
            "telephone_number": "914-919-9200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1050 SW 6th Ave Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972041153",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "One Sun Plaza, 100 Sun Ave",
            "address_2": "Suite 650",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "87109",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "173 Saint Patricks Dr Ste 104",
            "address_purpose": "LOCATION",
            "city": "Waldorf",
            "state": "MD",
            "postal_code": "206035530",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Cambridge St Fl 14",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021142509",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14355 Miranda Way",
            "address_purpose": "LOCATION",
            "city": "Los Altos Hills",
            "state": "CA",
            "postal_code": "940222032",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STARK",
        "first_name": "CASSANDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-20",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CO",
            "license": "0991661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; 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.