Individual provider Active NPI

Krista M Cassel, CPNP-PC, IBCLC

  • Pediatric Nurse Practitioner
  • Columbus, GA
National Provider Identifier
1386026573
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
RN247812 Issued in GA
Practice address
500 Brookstone Centre Parkway
#100
Columbus, GA 31904
Phone
(706) 221-4602
Fax
(706) 221-4620
NPI assigned
Jun 24, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse) 163WL0100X RN247812 GA
Pediatric Nurse Practitioner 363LP0200X RN247812 GA Primary

Addresses

Primary practice location

500 Brookstone Centre Parkway
#100
Columbus, GA 31904

Mailing address

500 Brookstone Centre Parkway
#100
Columbus, GA 31904
Phone (706) 221-4602

Other practice location 1

1140 Hudson Mill Rd
Hamilton, GA 31811-6234
Phone (859) 552-8154

Other identifiers 1

IdentifierTypeStateIssuer
003162152HMedicaidGA

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Pediatric Associates, PC PastSince Apr 24, 2022 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12280/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1435104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1386026573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 BROOKSTONE CENTRE PARKWAY",
            "address_2": "#100",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "31904",
            "telephone_number": "706-221-4602",
            "fax_number": "706-221-4620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 BROOKSTONE CENTRE PARKWAY",
            "address_2": "#100",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "31904",
            "telephone_number": "706-221-4602",
            "fax_number": "706-221-4620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1140 Hudson Mill Rd",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "GA",
            "postal_code": "318116234",
            "country_code": "US",
            "telephone_number": "859-552-8154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASSEL",
        "first_name": "KRISTA",
        "middle_name": "M",
        "credential": "CPNP-PC, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-24",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "GA",
            "license": "RN247812",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "GA",
            "license": "RN247812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003162152H",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.