Active NPI
Cassandra Sage Bluff, RN
- Wound Care Registered Nurse
- Baldwinsville, NY
National Provider Identifier
1144686338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Wound Care Registered Nurse
- License
- 495075
- Practice address
- 29 East Oneida St
Elden Elementary Health Office
Baldwinsville, NY 13027 - Phone
- (315) 638-6120
- Fax
- (315) 638-6171
- NPI assigned
- Jan 5, 2016
- Last updated
- Jan 5, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Wound Care Registered Nurse | 163WW0000X | 495075 | NY | Primary |
Addresses
Primary practice location
29 East Oneida St
Elden Elementary Health Office
Baldwinsville, NY 13027
Mailing address
29 East Oneida St
Elden Elementary Health Office
Baldwinsville, NY 13027
Phone (315) 638-6120
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 495075 | NY | MD | Wound Care Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451952000000",
"number": "1144686338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 EAST ONEIDA ST",
"address_2": "ELDEN ELEMENTARY HEALTH OFFICE",
"city": "BALDWINSVILLE",
"state": "NY",
"postal_code": "13027",
"telephone_number": "315-638-6120",
"fax_number": "315-638-6171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 EAST ONEIDA ST",
"address_2": "ELDEN ELEMENTARY HEALTH OFFICE",
"city": "BALDWINSVILLE",
"state": "NY",
"postal_code": "13027",
"telephone_number": "315-638-6120",
"fax_number": "315-638-6171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLUFF",
"first_name": "CASSANDRA",
"middle_name": "SAGE",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-05",
"last_updated": "2016-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "163WW0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Wound Care",
"state": "NY",
"license": "495075",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baldwinsville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.