Cassandra Dejesus

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

245 Memorial Dr Ste 6152
Cullowhee, NC 28723-8911

Phone

(704) 649-5952

NPI assigned

Dec 21, 2014

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 21, 2014.

{
    "created_epoch": "1419120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419120000000",
    "number": "1235537432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12159 BOTTLEBRUSH PL",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282771793",
            "telephone_number": "704-649-5952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 MEMORIAL DR STE 6152",
            "city": "CULLOWHEE",
            "state": "NC",
            "postal_code": "287238911",
            "telephone_number": "704-649-5952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEJESUS",
        "first_name": "CASSANDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-21",
        "last_updated": "2014-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edgar Davis
• Jeff E Davis, M.D
• Kristin Nicole Davis
• Patricia Davis, M.S. CCC-SLP
• Ernesto Esteban De la Torre II, MD
• Sophia Delbene
• Helen Denbow, ATC
• Sabrina Dicarlo, PHD
• Ruby Louise Drew, PHD
• Katelyn Danielle Marie Edwards

• All providers in Cullowhee, NC
• Athletic Trainer in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2014; 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.