Cassandra Johnson, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

1720907 Issued in MN

Practice address

2486 Pond Circle West
Mendota Heights, MN 55120

Phone

(612) 354-5747

NPI assigned

Jun 19, 2018

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

Credentials

Registered Nurse

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.

• Family Choice Home Care

  • Home Health Agency
  • Mendota Heights, MN
  • NPI 1790968865
  NPD (past) Authorized official

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

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529366400000",
    "number": "1164916516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2486 POND CIR W",
            "city": "MENDOTA HEIGHTS",
            "state": "MN",
            "postal_code": "551201939",
            "telephone_number": "715-456-4872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2486 POND CIRCLE WEST",
            "city": "MENDOTA HEIGHTS",
            "state": "MN",
            "postal_code": "55120",
            "telephone_number": "612-354-5747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CASSANDRA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-19",
        "last_updated": "2018-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "1720907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eyni Salad Jama
• Shukri M Jama
• Asiya Aliabdi Jirdde
• Andrew Johnson, PHARMD
• Boone Markus Johnson
• Jack Thomas Johnston
• Kyle Johnston, LPCC
• Roody Nan Joinvil
• Tyler Jones
• Jordan Judd, LBA

• Registered Nurse in Mendota Heights, MN
• Providers in Mendota Heights, MN by specialty
• Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2018; 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.