Individual provider Active NPI

Cassandra L Fronabarger, F.N.P.

  • Nurse Practitioner
  • Jackson, TN
National Provider Identifier
1114144243
Registry record updated Aug 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
7241 Issued in TN
Practice address
244 Coatsland Dr
Jackson, TN 38301-3948
Phone
(731) 422-4642
Fax
(731) 422-4642
NPI assigned
Apr 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 7241 TN Primary

Addresses

Primary practice location

244 Coatsland Dr
Jackson, TN 38301-3948

Mailing address

244 Coatsland Dr
Jackson, TN 38301-3948
Phone (731) 422-4642

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20080509000526 TN Practitioner - Nurse Practitioner 1456430826 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Womans Clinic a Professional AssociationGroup PAC ID 1355308677, 15 clinicians

Practice addresses (Care Compare)

244 Coatsland Dr
Jackson, TN 38301-3948
Phone (731) 422-4642

Hospital & facility affiliations

  • Jackson-Madison County General Hospital Hospital, Jackson, TN, CCN 440002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
7241TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Womans Clinic a Professional Association CurrentSince Jan 1, 2020 Accepting new patients

Locations

244 Coatsland Dr
Jackson, TN 38301
Phone (731) 422-4642

72 Physicians Dr
Jackson, TN 38305
Phone (731) 660-6395

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AJIHBD/Endpoint/AJIHBD

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598227200000",
    "number": "1114144243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 COATSLAND DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383013948",
            "telephone_number": "731-422-4642",
            "fax_number": "731-668-9007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 COATSLAND DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383013948",
            "telephone_number": "731-422-4642",
            "fax_number": "731-422-4642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRONABARGER",
        "first_name": "CASSANDRA",
        "middle_name": "L",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "7241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

Verify at the official NPI Registry.