Individual provider Active NPI

Cassondra Alexandria Hawkins, APRN, FNP-C

  • Family Nurse Practitioner
  • Plano, TX
National Provider Identifier
1144044686
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1179524 Issued in TX
Practice address
6332 Burbank Way
Plano, TX 75024-2561
Phone
(816) 728-6692
NPI assigned
Nov 12, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1179524 TX Primary

Addresses

Primary practice location

6332 Burbank Way
Plano, TX 75024-2561

Mailing address

6332 Burbank Way
Plano, TX 75024-2561

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241212004534 TX Practitioner - Nurse Practitioner 0840726865 Reassigns benefits to 2 organizations
I20260423000716 IL Practitioner - Nurse Practitioner 0840726865 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

200 Oceangate
Suite 100
Long Beach, CA 90802-4316

6332 Burbank Way
Plano, TX 75024-2561

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1179524TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Molina Care Connections, LLC. CurrentSince Jan 6, 2025 Accepting new patients

Locations

2001 Butterfield Rd
Ste 750
Downers Grove, IL 60515
Phone (630) 381-1757

1660 Westridge Cir N
Irving, TX 75038
Phone (214) 467-9787

5605 N MacArthur Blvd
Ste 400
Irving, TX 75038
Phone (972) 536-7265

Interoperability endpoints

  • Direct secure messaging: chawkins17957@direct-prd.molinahealthcare.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1731369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1144044686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6332 BURBANK WAY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750242561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6332 BURBANK WAY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750242561",
            "telephone_number": "816-728-6692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKINS",
        "first_name": "CASSONDRA",
        "middle_name": "ALEXANDRIA",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-12",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1179524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.