Kasandra B.a. Motwani, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

71006585A Issued in IN

Practice address

4506 1St Ave
Evansville, IN 47710-3624

Phone

(812) 428-6161

Fax

(812) 421-2883

NPI assigned

Sep 2, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kasandra B.a. Rowen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1472774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491436800000",
    "number": "1245787647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1510",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477061510",
            "telephone_number": "812-450-6815",
            "fax_number": "812-421-2883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4506 1ST AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477103624",
            "telephone_number": "812-428-6161",
            "fax_number": "812-421-2883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTWANI",
        "first_name": "KASANDRA",
        "middle_name": "B.A.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-02",
        "last_updated": "2017-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71006585A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201405340",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KASANDRA",
            "last_name": "ROWEN",
            "middle_name": "B.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bethany L Morse, NP
• Stacy Mosby
• Emmanuel Moses-Fynn, DO
• Debra V Mosley, OTR
• Meagan Moss
• Jenna Michele Motycka, APRN
• Movemetrics LLC
• Hillary Shane Mowbray, M.D.
• Nichole Mroz
• Kalah Su Muensterman

• Nurse Practitioner in Evansville, IN
• Providers in Evansville, IN by specialty
• Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2017; 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.