Kassandra Good, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN274406 Issued in PA

Practice address

1249 Cocoa Ave Ste 201
Hershey, PA 17033-3700

Phone

(717) 531-0003

NPI assigned

Oct 19, 2018

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

Other names 1

• Kassandra Kizer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1539907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539907200000",
    "number": "1346716115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1249 COCOA AVE STE 201",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170333700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1249 COCOA AVE STE 201",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170333700",
            "telephone_number": "717-531-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOOD",
        "first_name": "KASSANDRA",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-19",
        "last_updated": "2018-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "PA",
            "license": "PN274406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KASSANDRA",
            "last_name": "KIZER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Julia Russell Gomez, MD
• Jayanthraj Gone
• Aric Richard Gonter, DO
• Mario D Gonzalez, MD
• David C Good, MD
• Christopher Thomas Goode, PA-C
• Kaitlyn Gooding, MD
• Kelly Goodling, PA-C
• Kristin Nikolle Goodling, O.D.
• Barbara Hench Goodyear, CRNA

• Licensed Practical Nurse in Hershey, PA
• Providers in Hershey, PA by specialty
• Licensed Practical Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2018; 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.