Organization Active NPI

Cassandria Claudine Stephenson

  • Primary Care Clinic/Center
  • Henderson, NV
National Provider Identifier
1144021676
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
CASSANDRIA CLAUDINE STEPHENSON
Practice address
4027 E Sunset Rd
Henderson, NV 89014-0215
Phone
(754) 246-3364
Fax
(949) 703-8628
NPI assigned
Mar 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Authorized official

Name
Mrs. Cassandria Claudine Stephenson, NPNPI 1073213609
Title
Owner
Phone
(754) 246-3364

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

4027 E Sunset Rd
Henderson, NV 89014-0215

Mailing address

959 Via Gandalfi
Henderson, NV 89011-0934
Phone (754) 246-3364

Other names 2

  • Cassandria Claudine Stephenson Doing business as
  • NP Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250523001188 NV Part B Supplier - Clinic/Group Practice 5395264238 Receives reassigned benefits from 1 practitioner
Practice locations: Henderson, NV

National Provider Directory

National Provider Directory

Locations

4027 E Sunset Rd
Henderson, NV 89014
Phone (754) 246-3364

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1742515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783987200000",
    "number": "1144021676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "959 VIA GANDALFI",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890110934",
            "telephone_number": "754-246-3364",
            "fax_number": "725-433-2912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4027 E SUNSET RD",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890140215",
            "telephone_number": "754-246-3364",
            "fax_number": "949-703-8628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASSANDRIA CLAUDINE STEPHENSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-21",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A",
        "authorized_official_last_name": "STEPHENSON",
        "authorized_official_first_name": "CASSANDRIA",
        "authorized_official_middle_name": "CLAUDINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "754-246-3364",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cassandria Claudine Stephenson",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.