Active NPI
Cassidy Iannello, RD
- Registered Dietitian
- Austin, TX
National Provider Identifier
1255980470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 3432 Greystone Dr Ste 120
Austin, TX 78731-2371 - Phone
- (512) 967-3388
- NPI assigned
- Sep 10, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
3432 Greystone Dr Ste 120
Austin, TX 78731-2371
Mailing address
5453 Burnet Rd Apt 229
Austin, TX 78756-1633
Phone (214) 491-9346
Other names 1
- Cassidy Camiscione
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maria Mendoza Rd, LLC | Dietitian, Registered | Current | Accepting new patients |
Locations
3432 Greystone Dr
Ste 120
Austin, TX 78731
Phone (512) 522-7793
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710806400000",
"number": "1255980470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5453 BURNET RD APT 229",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787561633",
"telephone_number": "214-491-9346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3432 GREYSTONE DR STE 120",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787312371",
"telephone_number": "512-967-3388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IANNELLO",
"first_name": "CASSIDY",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-10",
"last_updated": "2024-03-19",
"certification_date": "2024-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CASSIDY",
"last_name": "CAMISCIONE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.