Cassandra Davison

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

330512 Issued in NY

Practice address

214 King St
Ogdensburg, NY 13669-1142

Phone

(315) 713-5730

Fax

(315) 713-5389

NPI assigned

Jun 7, 2022

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

State licenses

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

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1053040949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 STATE HIGHWAY 184",
            "city": "HEUVELTON",
            "state": "NY",
            "postal_code": "136543144",
            "telephone_number": "315-528-7656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 KING ST",
            "city": "OGDENSBURG",
            "state": "NY",
            "postal_code": "136691142",
            "telephone_number": "315-713-5730",
            "fax_number": "315-713-5389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVISON",
        "first_name": "CASSANDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-07",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "330512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlene M Cutway, LCSW
• Lucille D'Agostino
• Ticia Jo Dafoe, RN
• Nichole Damms, RN
• Kirsti L Davis, RN
• Haley Elise Dawley
• Samantha Dayter
• Aimee Dean, RN
• Seth G Decosse, RN
• Kendra Delorme, RN

• Licensed Practical Nurse in Ogdensburg, NY
• Providers in Ogdensburg, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; 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.