Cassandra Head Davis, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN144410 Issued in GA

Practice address

9900 Bren Rd E
Minnetonka, MN 55343-9664

Phone

(478) 550-8356

NPI assigned

Mar 2, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Upson Surgical Associates, LLC

  • Surgery Physician
  • Thomaston, GA
  • NPI 1790076974
  NPD (past)
• Upson Womens Services LLC

  • Obstetrics & Gynecology Physician
  • Thomaston, GA
  • NPI 1881842821
  NPD (past)

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

{
    "created_epoch": "1330646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596067200000",
    "number": "1124392576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2457 SHI RD",
            "city": "FORSYTH",
            "state": "GA",
            "postal_code": "310297551",
            "telephone_number": "478-550-8356",
            "fax_number": "706-647-7014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 BREN RD E",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553439664",
            "telephone_number": "478-550-8356"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "612 W Gordon St",
            "address_2": "Suite C",
            "address_purpose": "LOCATION",
            "city": "Thomaston",
            "state": "GA",
            "postal_code": "302863480",
            "country_code": "US",
            "telephone_number": "706-647-7009",
            "fax_number": "706-647-7014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CASSANDRA",
        "middle_name": "HEAD",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-02",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN144410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Clay Daro, M.D.
• Jennifer Dart, RN, CNP
• Jessica Rebecca Dasher, NP
• Rosmarie Dauth, LICSW, LADC
• Chelseanne Luella Davidson
• Tamara Davis, NP
• Lorena C De la Rosa, FNP-C
• Elizabeth Marie Deacon
• Megan Mosley Deal, MSN, FNP-BC
• Christopher Daryl Dean, D.C

• All providers in Minnetonka, MN
• Family Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.