Individual provider Active NPI

Cassandra Cox, FNP-BC

  • Primary Care Nurse Practitioner
  • Goodyear, AZ
National Provider Identifier
1215749858
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
318945 Issued in AZ
Practice address
13555 W McDowell Rd Ste 205
Goodyear, AZ 85395-2626
Phone
(623) 295-1190
NPI assigned
Jan 21, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 318945 AZ Primary

Addresses

Primary practice location

13555 W McDowell Rd Ste 205
Goodyear, AZ 85395-2626

Mailing address

1729 E Francisco Dr
Phoenix, AZ 85042-6821
Phone (602) 621-5626

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250304001602 AZ Practitioner - Nurse Practitioner 6103347471 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

13555 W McDowell Rd
Goodyear, AZ 85395-2624

Hospital & facility affiliations

  • Dignity Health at Home Home health agency, Chandler, AZ, CCN 037281

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Leading Healthcare Clinic of Goodyear LLC CurrentSince Feb 1, 2025 Accepting new patients
Leading Healthcare, LLC PastSince Feb 1, 2025 Accepting new patients

Locations

13555 W McDowell Rd
Ste 205
Goodyear, AZ 85395
Phone (623) 535-0740

13555 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 932-1157

8035 E Brown Rd
Mesa, AZ 85207
Phone (480) 686-8540

13203 N 103rd Ave
Ste I5
Sun City, AZ 85351

13203 N 103rd Ave
Ste 15
Sun City, AZ 85351

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1737417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1215749858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1729 E FRANCISCO DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850426821",
            "telephone_number": "602-621-5626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13555 W MCDOWELL RD STE 205",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952626",
            "telephone_number": "623-295-1190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COX",
        "first_name": "CASSANDRA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-21",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AZ",
            "license": "318945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

Verify at the official NPI Registry.