Individual provider Active NPI

Cassandra Ann Brickey, RN,IBCLC, RLC

  • Lactation Consultant (Registered Nurse)
  • Kingsport, TN
National Provider Identifier
1326459793
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
0001305003 Issued in VA
Practice address
1999 E Stone Dr Ste 105
Kingsport, TN 37660-4630
Phone
(423) 930-8209
NPI assigned
May 19, 2014
Last updated
Aug 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse) 163WL0100X 0001305003 VA Primary

Addresses

Primary practice location

1999 E Stone Dr Ste 105
Kingsport, TN 37660-4630

Mailing address

639 Venus Branch LN
Hiltons, VA 24258-6585
Phone (423) 930-8209

Other practice location 1

639 Venus Branch Ln
Hiltons, VA 24258
Phone (423) 930-8209

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
0001305003VAMDLactation Consultant (Registered Nurse)

NPI Registry JSON

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

{
    "created_epoch": "1400457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1326459793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 VENUS BRANCH LN",
            "city": "HILTONS",
            "state": "VA",
            "postal_code": "242586585",
            "telephone_number": "423-930-8209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1999 E STONE DR STE 105",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604630",
            "telephone_number": "423-930-8209"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "639 Venus Branch Ln",
            "address_purpose": "LOCATION",
            "city": "Hiltons",
            "state": "VA",
            "postal_code": "24258",
            "country_code": "US",
            "telephone_number": "423-930-8209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRICKEY",
        "first_name": "CASSANDRA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "RN,IBCLC, RLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-19",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "VA",
            "license": "0001305003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.