Cassandra Renee Debenham, APRN

Primary specialty

Critical Care Medicine Nurse PractitionerTaxonomy code 363LC0200X

License

7574219-4405 Issued in UT

Practice address

7661 S 700 E
Midvale, UT 84047-2350

Phone

(801) 385-5243

NPI assigned

Jun 30, 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

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cassandra.debenham.1@17373.direct.athenahealth.com
• Direct secure messaging: cassandra.debenham.1@16299.direct.athenahealth.com

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.

• Cassandra Debenham

  • Internal Medicine Physician
  • Sandy, UT
  • NPI 1215811864
  NPD Authorized official

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

{
    "created_epoch": "1467244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673654400000",
    "number": "1275984254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7661 S 700 E",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840472350",
            "telephone_number": "801-385-5243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7661 S 700 E",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840472350",
            "telephone_number": "801-385-5243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBENHAM",
        "first_name": "CASSANDRA",
        "middle_name": "RENEE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-30",
        "last_updated": "2023-01-14",
        "certification_date": "2023-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "UT",
            "license": "7574219-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Alexa Dean
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• Deep Recovery Massage
• Barbara Deichmann-Doyle
• Dentacor LLC
• Dental Care Now PLLC

• Critical Care Medicine Nurse Practitioner in Midvale, UT
• Providers in Midvale, UT by specialty
• Critical Care Medicine Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.