Active NPI
Cass's Mobile Health Services, Inc.
- Family Medicine Physician
- Port Orange, FL
National Provider Identifier
1093391336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- CASS'S MOBILE HEALTH SERVICES, INC.
- Practice address
- 3956 Sunset Cove Dr
Port Orange, FL 32129-1918 - Phone
- (386) 871-3855
- NPI assigned
- Mar 18, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cassondra Yvette Hawkins, APRN
- Title
- Owner
- Phone
- (386) 871-3855
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
3956 Sunset Cove Dr
Port Orange, FL 32129-1918
Mailing address
3956 Sunset Cove Dr
Port Orange, FL 32129-1918
Phone (386) 871-3855
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616025600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1616025600000",
"number": "1093391336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3956 SUNSET COVE DR",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321291918",
"telephone_number": "386-871-3855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3956 SUNSET COVE DR",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321291918",
"telephone_number": "386-871-3855"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CASS'S MOBILE HEALTH SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-18",
"last_updated": "2021-03-18",
"certification_date": "2021-03-18",
"status": "A",
"authorized_official_last_name": "HAWKINS",
"authorized_official_first_name": "CASSONDRA",
"authorized_official_middle_name": "YVETTE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "386-871-3855",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Orange, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.