Cassandra Blackburn, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

240033 Issued in AZ

Practice address

4035 W Alameda Rd
Glendale, AZ 85310-3304

Phone

(623) 445-4700

NPI assigned

Sep 24, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

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

• Desert Sage Elementary

  • Nursing Care Agency
  • Glendale, AZ
  • NPI 1437985850
  NPD Authorized official

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

{
    "created_epoch": "1727136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1033936620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20402 N 15TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850273699",
            "telephone_number": "623-445-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4035 W ALAMEDA RD",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853103304",
            "telephone_number": "623-445-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKBURN",
        "first_name": "CASSANDRA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-24",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "240033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christian Bittner, MD
• Shannon Bitza
• Adela Bjelobrkovic
• BKD North Glendale, LLC
• BL Med Spa LLC
• Adam Bryce Blacker, O.D., M.S.
• Kimberly Irene Blahnik, LPN
• Cody Blair
• Charles Edward Blake, FNP-BC
• Sue Ellen Blakemore, M.N.S. , CCC

• Registered Nurse in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.