Active NPI
Cassaundra Houston Hefner, FNP-BC
- Nurse Practitioner
- Shallotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5004196
- Practice address
- 5145 Sellers Rd
Shallotte, NC 28470 - Phone
- (910) 754-4441
- NPI assigned
- Dec 3, 2008
- Last updated
- Oct 26, 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5004196 | NC | Primary |
| Family Nurse Practitioner | 363LF0000X | 5004196 | NC |
Addresses
Primary practice location
5145 Sellers Rd
Shallotte, NC 28470
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Phone (844) 266-8268
Other practice location 1
21 18th Ave NW
Hickory, NC 28601-1822
Phone (828) 267-2246
Other practice location 2
21 18th Ave NW
Hickory, NC 28601-1822
Phone (828) 267-2246
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 891192R | Medicaid | NC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | chefner688398@direct.novanthealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- 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
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Novant Health Medical Group, LLC
Practice addresses (Care Compare)
3009 Medical Plaza LN
Southport, NC 28461-5194
Phone (910) 457-3827
512 Village Rd
Suite 103
Shallotte, NC 28470-3409
Phone (910) 754-4441
5145 Sellers Rd
Shallotte, NC 28470-3405
Phone (910) 754-4441
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5004196 | NC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DLP Frye Medical Group LLC | Current | Accepting new patients | |
| J. Arthur Dosher Memorial Hospital | Current | Accepting new patients | |
| J. Arthur Dosher Memorial Hospital | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| J. Arthur Dosher Memorial Hospital | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| DLP Frye Medical Group LLC | Nurse Practitioner | Current | Accepting new patients |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Fryecare Physicians , LLC | Past | Accepting new patients |
Locations
10810 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 510-8000
1105 Fairgrove Church Rd SE
Conover, NC 28613
Phone (828) 267-0551
415 N Center St
Ste 203
Hickory, NC 28601
Phone (828) 322-2005
915 Tate Blvd SE
Ste 182
Hickory, NC 28602
Phone (828) 322-2005
915 Tate Blvd SE
Ste 186
Hickory, NC 28602
Phone (828) 449-8458
512 Village Rd
Ste 103
Shallotte, NC 28470
Phone (910) 754-4441
5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441
3009 Medical Plaza Ln
Southport, NC 28461
Phone (910) 454-1234
823 N Atlantic Ave
Southport, NC 28461
Phone (910) 457-3827
905 N Howe St
Southport, NC 28461
Phone (910) 457-3827
924 N Howe St
Southport, NC 28461
Phone (910) 457-3800
2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300
Interoperability endpoints
- chefner688398@direct.novanthealth.org
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- Southport, NC
- NPI 1275660342
-
dba FryeCare Lincolnton Medical Group
- Rural Health Clinic/Center
- Lincolnton, NC
- NPI 1154005965
-
dba Novant Health Endocrinology
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1306950282
-
dba Novant Health Pediatric Neurology & Sleep
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
-
dba FryeCare Pulmonology Associates
- Pulmonary Disease Physician
- Hickory, NC
- NPI 1578002341
Nurse Practitioner
-
dba Dosher Medical Associates
- Critical Access Hospital Clinic/Center
- Southport, NC
- NPI 1194016055
-
dba Dosher Medical - Bald Head Island
- General Practice Physician
- Bald Head Island, NC
- NPI 1376961219
-
dba Novant Health Elizabeth OB/GYN
- Obstetrics & Gynecology Physician
- Matthews, NC
- NPI 1386506137
-
dba Novant Health Oceanside Family Medicine
- Family Medicine Physician
- Shallotte, NC
- NPI 1609528215
-
dba Novant Health Oceanside Family Medicine & Convenient Care
- Family Medicine Physician
- Shallotte, NC
- NPI 1710051123
-
- Pulmonary Disease Physician
- Hickory, NC
- NPI 1659774503
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Dosher Wellness Center
- Rural Health Clinic/Center
- Southport, NC
- NPI 1326589649
Hospital
-
dba Dosher Medical - Oak Island
- Rural Health Clinic/Center
- Oak Island, NC
- NPI 1235405358
Hospital
-
dba Dosher Medical - Bald Head Island
- General Practice Physician
- Bald Head Island, NC
- NPI 1376961219
Hospital
-
- Critical Access Hospital
- Southport, NC
- NPI 1538260229
-
dba Dosher Medical - Long Beach Road
- Rural Health Clinic/Center
- Southport, NC
- NPI 1568887818
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603670400000",
"number": "1306081468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447",
"telephone_number": "844-266-8268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5145 SELLERS RD",
"city": "SHALLOTTE",
"state": "NC",
"postal_code": "28470",
"telephone_number": "910-754-4441"
}
],
"practiceLocations": [
{
"address_1": "21 18th Ave NW",
"address_purpose": "LOCATION",
"city": "Hickory",
"state": "NC",
"postal_code": "286011822",
"country_code": "US",
"telephone_number": "828-267-2246",
"fax_number": "828-267-1623",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "21 18th Ave NW",
"address_purpose": "LOCATION",
"city": "Hickory",
"state": "NC",
"postal_code": "286011822",
"country_code": "US",
"telephone_number": "828-267-2246",
"fax_number": "828-267-1623",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HEFNER",
"first_name": "CASSAUNDRA",
"middle_name": "HOUSTON",
"name_prefix": "Mrs.",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-03",
"last_updated": "2020-10-26",
"certification_date": "2020-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5004196",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5004196",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891192R",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "chefner688398@direct.novanthealth.org",
"affiliation": "N",
"address_1": "21 18th Ave NW",
"city": "Hickory",
"state": "NC",
"country_code": "US",
"postal_code": "286011822",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Shallotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; 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.