Individual provider Active NPI

Cassandra Lynn Turner, N.P.

  • Psychiatric/Mental Health Nurse Practitioner
  • Bridgeton, MO
National Provider Identifier
1073921565
Registry record updated Jul 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2014025546 Issued in MO
Practice address
12303 Depaul Drive
Bridgeton, MO 63044-2512
Phone
(636) 699-3468
NPI assigned
Jul 28, 2014
Last updated
Jul 28, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2014025546 MO Primary

Addresses

Primary practice location

12303 Depaul Drive
Bridgeton, MO 63044-2512

Mailing address

12303 Depaul Drive
Bridgeton, MO 63044-2512
Phone (636) 699-3468

Other names 1

  • Cassandra Lynn Gravlin Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141009000059 MO Practitioner - Nurse Practitioner 3971723255 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Open Arms Wellness LLCGroup PAC ID 5799170486, 12 clinicians

Practice addresses (Care Compare)

13975 Manchester Rd
Suite 3
Ballwin, MO 63011-4500
Phone (314) 329-4326

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2014025546MOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Open Arms Wellness LLC CurrentSince Sep 26, 2024 Accepting new patients
SSM Health Care St Louis CurrentSince Aug 10, 2014 Accepting new patients
Open Arms Mental Health Therapy LLC PastSince Jan 14, 2024 Accepting new patients

Locations

7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189

13975 Manchester Rd
Ste 3
Ballwin, MO 63011
Phone (314) 329-4326

1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000

2963 Doddridge Ave
Maryland Hts, MO 63043
Phone (314) 291-3909

6420 Clayton Rd
Saint Louis, MO 63117
Phone (314) 768-8442

8820 Manchester Rd
Saint Louis, MO 63144
Phone (314) 963-8100

8949 Manchester Rd
Saint Louis, MO 63144
Phone (314) 329-4326

Organizations & group practices 3

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": "1406505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406505600000",
    "number": "1073921565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12303 DEPAUL DRIVE",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442512",
            "telephone_number": "636-699-3468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12303 DEPAUL DRIVE",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442512",
            "telephone_number": "636-699-3468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURNER",
        "first_name": "CASSANDRA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-28",
        "last_updated": "2014-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2014025546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASSANDRA",
            "last_name": "GRAVLIN",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bridgeton, MO

Sources for this page

Verify at the official NPI Registry.