Active NPI
Cassandra Meyer, NP
- Nurse Practitioner
- Madison, IN
National Provider Identifier
1194714964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 71001685A
- Practice address
- 1 Kings Daughters Dr
Phoenix Emergency Services of Madison
Madison, IN 47250-3300 - Phone
- (812) 265-5211
- NPI assigned
- Oct 14, 2005
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 71001685A | IN | Primary |
Addresses
Primary practice location
1 Kings Daughters Dr
Phoenix Emergency Services of Madison
Madison, IN 47250-3300
Mailing address
3854 S State Road 129
Versailles, IN 47042-9118
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71001685A | IN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Emergency Services of Madison LLC | Nurse Practitioner | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Emergency Medicine Physician
- Madison, IN
- NPI 1881683548
Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203292800000",
"number": "1194714964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3854 S STATE ROAD 129",
"city": "VERSAILLES",
"state": "IN",
"postal_code": "470429118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 KINGS DAUGHTERS DR",
"address_2": "PHOENIX EMERGENCY SERVICES OF MADISON",
"city": "MADISON",
"state": "IN",
"postal_code": "472503300",
"telephone_number": "812-265-5211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEYER",
"first_name": "CASSANDRA",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-14",
"last_updated": "2008-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71001685A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.