Individual provider Active NPI

Cassandra Virginia Simpson, RN

  • Registered Nurse
  • Brandon, FL
National Provider Identifier
1043722838
Registry record updated Aug 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN9425054 Issued in FL
Practice address
210 S Parsons Ave Ste 9
Brandon, FL 33511-5256
Phone
(813) 707-0400
Fax
(813) 322-2362
NPI assigned
Nov 1, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X RN9425054 FL
Home Health Registered Nurse 163WH0200X RN9425054 FL
In Home Supportive Care Agency 253Z00000X RN9425054 FL
Developmental Disabilities Clinic/Center 261QD1600X RN9425054 FL
Registered Nurse 163W00000X RN9425054 FL Primary

Addresses

Primary practice location

210 S Parsons Ave Ste 9
Brandon, FL 33511-5256

Mailing address

PO Box 963
Valrico, FL 33595-0963
Phone (813) 810-6844

Other practice location 1

949 Grand Canyon Dr
Valrico, FL 33594-4351
Phone (813) 810-6844

Other identifiers 1

IdentifierTypeStateIssuer
106270500MedicaidFL

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN9425054FLMDDevelopmental Disabilities Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Care of Florida, LLC Home Health CurrentSince Aug 28, 2021 Accepting new patients
Grand Canyon Group Home LLC Home Health PastSince Oct 9, 2022 Accepting new patients

Locations

210 S Parsons Ave
Ste 9
Brandon, FL 33511
Phone (813) 707-0400

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1509494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628208000000",
    "number": "1043722838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 963",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335950963",
            "telephone_number": "813-810-6844",
            "fax_number": "813-322-2362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S PARSONS AVE STE 9",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115256",
            "telephone_number": "813-707-0400",
            "fax_number": "813-322-2362"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "949 Grand Canyon Dr",
            "address_purpose": "LOCATION",
            "city": "Valrico",
            "state": "FL",
            "postal_code": "335944351",
            "country_code": "US",
            "telephone_number": "813-810-6844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "CASSANDRA",
        "middle_name": "VIRGINIA",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-01",
        "last_updated": "2021-08-06",
        "certification_date": "2021-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "RN9425054",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "FL",
            "license": "RN9425054",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "RN9425054",
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "FL",
            "license": "RN9425054",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9425054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106270500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.