Cassandra Smith

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

2298731-1 Issued in NY

Practice address

100 Benchley PL
6-H
Bronx, NY 10475-3302

Phone

(646) 281-5717

NPI assigned

Jun 4, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1244073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244073600000",
    "number": "1407082415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BENCHLEY PL",
            "address_2": "6-H",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104753302",
            "telephone_number": "646-281-5717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BENCHLEY PL",
            "address_2": "6-H",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104753302",
            "telephone_number": "646-281-5717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CASSANDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-04",
        "last_updated": "2009-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "2298731-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candace Smith
• Candace Smith, LCSW, MPH
• Carew D Smith
• Carl Smith
• Carolyn F Smith, MS,ATC
• Chanel Tarae Smith, PA
• Charlotte Jane Smith, M.D.
• Charmaine Smith, RN
• Cherricka Smith
• Cheryl Smith, LPN

• Licensed Practical Nurse in Bronx, NY
• Providers in Bronx, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2009; 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.