Cassie Marie Hodgin, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

A1 60407811 Issued in WA

Practice address

1455 Colorado St
Bohler Athletic Complex M4
Pullman, WA 99164

Phone

(509) 335-0912

Fax

(509) 335-4729

NPI assigned

Dec 18, 2013

Last updated

Dec 18, 2013By the provider in NPPES

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1387324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387324800000",
    "number": "1174944169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BOHLER ATHLETIC COMPLEX M4",
            "address_2": "P.O. BOX 641602",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991641602",
            "telephone_number": "509-335-0912",
            "fax_number": "509-335-4729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 COLORADO ST",
            "address_2": "BOHLER ATHLETIC COMPLEX M4",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "99164",
            "telephone_number": "509-335-0912",
            "fax_number": "509-335-4729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGIN",
        "first_name": "CASSIE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-18",
        "last_updated": "2013-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WA",
            "license": "A1 60407811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Hernandez, LICESNED MH COUNSELO
• Emily Nell Heytvelt, LMP
• Christine Hicks
• Renay Dawn Hillman, PHARMD
• Gina Marie Hjorth, NP-C, ARNP, MS
• Jordann Michelle Hofstrand
• Timothy Eli Holmstrom, MS, PA-C, ATC, CSCS
• Susan Hooper
• Hope in the Hills Counseling Services PLLC
• Kyle Steven Hopwood, PTA

• Athletic Trainer in Pullman, WA
• Providers in Pullman, WA by specialty
• Athletic Trainer in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2013; 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.