Individual provider Active NPI

Cassandra Finch, PA

  • Physician Assistant
  • St George, UT
National Provider Identifier
1245619840
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
12751733-8906 Issued in UT
Practice address
617 E Riverside Dr Ste 104
St George, UT 84790-8720
Phone
(435) 817-9749
Fax
(480) 562-6606
NPI assigned
May 28, 2015
Last updated
Sep 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA3095 NV
Physician Assistant 363A00000X 7454 AZ
Physician Assistant 363A00000X PA170134 OR
Physician Assistant 363A00000X 12751733-8906 UT Primary

Addresses

Primary practice location

617 E Riverside Dr Ste 104
St George, UT 84790-8720

Mailing address

617 E Riverside Dr Ste 104
St George, UT 84790-8720
Phone (435) 817-9749

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA3095NVMDPhysician Assistant
PA170134ORMDPhysician Assistant
12751733-8906UTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Gracious Minds Counseling and Supervision Inc. PastSince Sep 20, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: crobinson124858@samhealth.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1432771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1245619840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 E RIVERSIDE DR STE 104",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847908720",
            "telephone_number": "435-817-9749",
            "fax_number": "480-562-6606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 E RIVERSIDE DR STE 104",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847908720",
            "telephone_number": "435-817-9749",
            "fax_number": "480-562-6606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINCH",
        "first_name": "CASSANDRA",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-28",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA3095",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "7454",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA170134",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "12751733-8906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

Verify at the official NPI Registry.