Cassandra Lea Dahl

Primary specialty

Respite CareTaxonomy code 385H00000X

Practice address

20348 290TH St
Bagley, MN 56621-5067

Phone

(701) 620-9515

NPI assigned

Jun 12, 2024

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

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

{
    "created_epoch": "1718150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1245072867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20348 290TH ST",
            "city": "BAGLEY",
            "state": "MN",
            "postal_code": "566215067",
            "telephone_number": "701-620-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20348 290TH ST",
            "city": "BAGLEY",
            "state": "MN",
            "postal_code": "566215067",
            "telephone_number": "701-620-9515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18378 251st Ave",
            "address_purpose": "LOCATION",
            "city": "Shevlin",
            "state": "MN",
            "postal_code": "566764151",
            "country_code": "US",
            "telephone_number": "701-620-9515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAHL",
        "first_name": "CASSANDRA",
        "middle_name": "LEA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-12",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cornerstone Residence of Bagley, Inc
• Cornerstone Senior Living, LLC
• County of Clearwater
• Kirsten Ruth Craft, MA, LPCC
• Kimberly Kae Crist, LPN
• Bonnie Eck, FNP
• Bonnie Rae Engen, RN/PHN
• Peter A Eriksson, MD
• Kathryn Falk, OTR/L
• Katie Rose Ferry Olson

• All providers in Bagley, MN
• Respite Care in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.