Cassandra Whitehead, RN
Individual provider Active NPI Registered Nurse · Hawthorne, FL
NPI 1265899587 · NPPES record last updated Jan 16, 2016
Key facts
- NPI
- 1265899587
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN 9338330 (FL)
- Practice address
- 420 Gordon Chapel Rd
Hawthorne, FL 32640-5424 - Phone
- (404) 964-6968
- Fax
- (404) 201-2091
- NPI assigned
- Jan 16, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN 9338330 | FL | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthy Lifestyles, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN 9338330 | FL | Yes |
Addresses
Primary practice location
420 Gordon Chapel Rd
Hawthorne, FL 32640-5424
Mailing address
420 Gordon Chapel Rd
Hawthorne, FL 32640-5424
Phone (404) 964-6968
Other providers in Hawthorne, FL
- Olivett D Underwood-Mobley
- Rhondda Faye Waddell
- Shannon Wadey
- Ciera Watson
- Fred Ashley White
- Nicholas Woods
All providers in Hawthorne, FL · Registered Nurse in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 16, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.