Cassandra Lynn Stevens

Primary specialty

Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X

License

226643-30 Issued in WI

Practice address

5109 World Dairy Dr
Madison, WI 53718-3807

Phone

(608) 242-0220

Fax

(608) 242-1166

NPI assigned

Dec 15, 2017

Last updated

Dec 15, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Cassandra Lynn Perez-Rodriguez 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": "1513296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513296000000",
    "number": "1396251138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 EXCALIBUR DR",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535461332",
            "telephone_number": "608-931-6568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5109 WORLD DAIRY DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537183807",
            "telephone_number": "608-242-0220",
            "fax_number": "608-242-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "CASSANDRA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-15",
        "last_updated": "2017-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "226643-30",
            "primary": false
        },
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "226643-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASSANDRA",
            "last_name": "PEREZ-RODRIGUEZ",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sadie Stetson
• Amy Ruth Stettner
• Michael Thomas Steuerwald
• Steven W Segall DDS SC
• Amberly Stevens, MFT-IT
• Furtis Marcel Stevens, Jr
• Kendall I Stevens, MD
• Marion T Stevens, LPC
• Sally J Stevens, MSSW, LCSW, CADC
• Elizabeth Stevenson

• Addiction (Substance Use Disorder) Registered Nurse in Madison, WI
• Providers in Madison, WI by specialty
• Addiction (Substance Use Disorder) Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2017; 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.