Organization Active NPI

Kascade Healthcare LLC

  • Nurse Practitioner
  • Alexandria, LA
National Provider Identifier
1194490169
Registry record updated Jan 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
KASCADE HEALTHCARE LLC
Practice address
1305 Metro Dr Ste 5
Alexandria, LA 71301-3444
Phone
(318) 625-7471
Fax
(833) 654-0722
NPI assigned
Aug 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2022

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

Authorized official

Name
Margrek S. Dorsey, FNP-BC, AGACNP
Title
Nurse Practitioner, Ceo
Phone
(318) 625-7471

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

1305 Metro Dr Ste 5
Alexandria, LA 71301-3444

Mailing address

1305 Metro Dr Ste 5
Alexandria, LA 71301-3444
Phone (318) 625-7471

Other names 1

  • GMD Nurse Practitioner Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

1305 Metro Dr
Ste 5
Alexandria, LA 71301
Phone (318) 625-7471

NPI Registry JSON

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

{
    "created_epoch": "1628726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642982400000",
    "number": "1194490169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 METRO DR STE 5",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013444",
            "telephone_number": "318-625-7471",
            "fax_number": "833-654-0722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 METRO DR STE 5",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013444",
            "telephone_number": "318-625-7471",
            "fax_number": "833-654-0722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KASCADE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-12",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-18",
        "status": "A",
        "authorized_official_last_name": "DORSEY",
        "authorized_official_first_name": "MARGREK",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "NURSE PRACTITIONER, CEO",
        "authorized_official_telephone_number": "318-625-7471",
        "authorized_official_credential": "FNP-BC, AGACNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GMD Nurse Practitioner Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GMD Nurse Practitioner Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alexandria, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; 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.