Cassandra Chamoun, APRN

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

APRN11004229 Issued in FL

Practice address

43 Eagle Harbor TRL
Palm Coast, FL 32164-6149

Phone

(954) 678-7664

NPI assigned

Mar 24, 2020

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

State licenses

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

{
    "created_epoch": "1585008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585008000000",
    "number": "1184251787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 EAGLE HARBOR TRL",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321646149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 EAGLE HARBOR TRL",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321646149",
            "telephone_number": "954-678-7664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMOUN",
        "first_name": "CASSANDRA",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-24",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "APRN11004229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Centered in Compassion Counseling LLC
• Cerrato Associates Incorporation
• Bonnie Marie Chalker, O.D.
• Desiree Montanari Challice I, P.T., DPT
• Chamion N. Olivier MD PA
• Chandler Medical, PLLC
• William Chandler, CRNA
• Derek Blake Charles
• Laurette Charles
• Mark S Cheiken, D.O.

• Family Medicine Physician in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2020; 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.