Active NPI
Cassandra Whitaker
- Basic Emergency Medical Technician
- Irving, TX
National Provider Identifier
1114502069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Basic Emergency Medical Technician
- License
- B111376006
- Practice address
- 4425 W Airport Fwy Ste 430
Irving, TX 75062-5984 - Phone
- (877) 361-3627
- NPI assigned
- Mar 12, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 45D2253313 | TX | |
| Basic Emergency Medical Technician | 146N00000X | B111376006 | VA | Primary |
Addresses
Primary practice location
4425 W Airport Fwy Ste 430
Irving, TX 75062-5984
Mailing address
4425 W Airport Fwy Ste 430
Irving, TX 75062-5984
Phone (877) 361-3627
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| B111376006 | VA | MD | Basic Emergency Medical Technician |
| 45D2253313 | TX | MD | Clinical Medical Laboratory |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lihim Technologies, LLC | Clinical Medical Laboratory | Current | Accepting new patients |
Locations
4425 W Airport Fwy
Ste 430
Irving, TX 75062
Phone (877) 361-3627
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.
-
- Clinical Medical Laboratory
- Irving, TX
- NPI 1811643943
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646784000000",
"number": "1114502069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4425 W AIRPORT FWY STE 430",
"city": "IRVING",
"state": "TX",
"postal_code": "750625984",
"telephone_number": "877-361-3627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4425 W AIRPORT FWY STE 430",
"city": "IRVING",
"state": "TX",
"postal_code": "750625984",
"telephone_number": "877-361-3627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITAKER",
"first_name": "CASSANDRA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-12",
"last_updated": "2022-03-09",
"certification_date": "2022-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "TX",
"license": "45D2253313",
"primary": false
},
{
"code": "146N00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Basic",
"state": "VA",
"license": "B111376006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.