Individual provider Active NPI

Cassandra Katherine Anne From, D.O.

  • Family Medicine Physician
  • Cameron, MO
National Provider Identifier
1073908109
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2016033111 Issued in MO
Practice address
1600 E Evergreen St
Cameron, MO 64429-2400
Phone
(816) 520-7697
NPI assigned
Apr 6, 2015
Last updated
Mar 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 2016033111 MO Primary

Addresses

Primary practice location

1600 E Evergreen St
Cameron, MO 64429-2400

Mailing address

4105 NW 61St Ter
Kansas City, MO 64151-2561
Phone (816) 520-7697

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161116001492 MO Practitioner - Family Practice 8527359256 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1600 E Evergreen St
Cameron, MO 64429-2400
Phone (816) 632-2101

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Macon County Samaritan Hospital Single Specialty CurrentSince Jul 11, 2018 Accepting new patients
Cameron Regional Medical Center Inc Single Specialty CurrentSince Apr 1, 2022 Accepting new patients
Cameron Regional Medical Center, Inc. Single Specialty CurrentSince Apr 1, 2022 Accepting new patients
General John J Pershing Memorial Hospital Association Single Specialty CurrentSince Jan 4, 2017 Accepting new patients

Locations

130 E Lockling St
Brookfield, MO 64628
Phone (660) 258-1050

1600 E Evergreen St
Cameron, MO 64429
Phone (816) 632-2101

1205 N Missouri St
Macon, MO 63552
Phone (660) 385-3151

101 E Hayward St
Meadville, MO 64659
Phone (660) 938-4213

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1428278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1073908109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4105 NW 61ST TER",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641512561",
            "telephone_number": "816-520-7697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 E EVERGREEN ST",
            "city": "CAMERON",
            "state": "MO",
            "postal_code": "644292400",
            "telephone_number": "816-520-7697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROM",
        "first_name": "CASSANDRA",
        "middle_name": "KATHERINE ANNE",
        "name_prefix": "Miss",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-06",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2016033111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cameron, MO

Sources for this page

Verify at the official NPI Registry.