Active NPI
Cassandra Alyse Noonan, PA
- Physician Assistant
- The Woodlands, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA13502
- Practice address
- 17189 Interstate Highway 45 South
Suite 675
The Woodlands, TX 77385 - Phone
- (936) 270-3905
- NPI assigned
- Jan 27, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | TX | ||
| Physician Assistant | 363A00000X | PA13502 | TX | Primary |
Addresses
Primary practice location
17189 Interstate Highway 45 South
Suite 675
The Woodlands, TX 77385
Mailing address
17189 Interstate Highway 45 South
Suite 675
The Woodlands, TX 77385
Phone (936) 270-3905
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA13502 | Other | TX | TEXAS MEDICAL BOARD |
Other names 1
- Mrs. Cassandra Alyse Rivera
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16605 Southwest Fwy
Sugar Land, TX 77479-3500
Phone (281) 275-0800
16605 Southwest Fwy 400 Mob3
Methodist Family Medicine Group
Sugar Land, TX 77479-3500
Phone (281) 275-0800
16605 SW Fwy 410
Methodist Diag Card of Houston
Sugar Land, TX 77479-3500
Phone (281) 274-0148
16655 Southwest Fwy
Sugar Land, TX 77479-2329
16811 Southwest Fwy
Suite 200
Sugar Land, TX 77479-4728
Phone (281) 690-4678
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA13502 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TMH Physician Associates PLLC | Current | Accepting new patients | |
| TMH Physician Associates PLLC | Current | Accepting new patients | |
| Houston Methodist Specialty Physicians | Current | Accepting new patients | |
| Houston Methodist | Past | Accepting new patients | |
| Sienna Practitioners PLLC | Past | Accepting new patients | |
| Cardiovascular Care Providers, Inc. | Past | Accepting new patients |
Locations
6565 Fannin St
#623
Houston, TX 77030
Phone (713) 363-8584
17189 Interstate 45 S
Ste 675
Shenandoah, TX 77385
Phone (936) 270-3900
16811 Southwest Fwy
Ste 200
Sugar Land, TX 77479
Phone (281) 690-4678
16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800
Interoperability endpoints
- cnoonan358412@directhoustonmethodist.org
Organizations & group practices 7
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.
-
- Otolaryngology Physician
- Houston, TX
- NPI 1902614332
-
- Ophthalmology Physician
- Houston, TX
- NPI 1275779225
-
- Surgical Technologist
- Sugar Land, TX
- NPI 1215220116
-
- Orthopaedic Surgery Physician
- Spring, TX
- NPI 1043061351
-
- Specialist
- Houston, TX
- NPI 1437242617
-
- Nurse Practitioner
- Houston, TX
- NPI 1992178693
-
- Surgical Physician Assistant
- Missouri City, TX
- NPI 1750741047
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- The Woodlands, TX
- NPI 1184179194
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679356800000",
"number": "1285265504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17189 INTERSTATE HIGHWAY 45 SOUTH",
"address_2": "SUITE 675",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "77385",
"telephone_number": "936-270-3905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17189 INTERSTATE HIGHWAY 45 SOUTH",
"address_2": "SUITE 675",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "77385",
"telephone_number": "936-270-3905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOONAN",
"first_name": "CASSANDRA",
"middle_name": "ALYSE",
"name_prefix": "Ms.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-27",
"last_updated": "2023-03-21",
"certification_date": "2023-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA13502",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS MEDICAL BOARD",
"identifier": "PA13502",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CASSANDRA",
"last_name": "RIVERA",
"middle_name": "ALYSE",
"prefix": "MRS.",
"credential": "PA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in The Woodlands, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.