Cassidy Brooke Sanford, NNP

Primary specialty

Neonatal Nurse PractitionerTaxonomy code 363LN0000X

License

5014610 Issued in NC

Practice address

2424 Erwin Road, Hock Plaza Suite #504
Division of Neonatology
Durham, NC 27705

Phone

(919) 475-4256

NPI assigned

Jun 27, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: csanford191718@direct.medicine.duke.edu

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

{
    "created_epoch": "1624752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1407426026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 ERWIN RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277053824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 ERWIN ROAD, HOCK PLAZA SUITE #504",
            "address_2": "DIVISION OF NEONATOLOGY",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27705",
            "telephone_number": "919-475-4256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANFORD",
        "first_name": "CASSIDY",
        "middle_name": "BROOKE",
        "credential": "NNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-27",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "NC",
            "license": "5014610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.dukehealth.org/",
            "affiliation": "N",
            "address_1": "2424 Erwin Road, Hock Plaza Suite #504",
            "address_2": "Division of Neonatology",
            "city": "Durham",
            "state": "NC",
            "country_code": "US",
            "postal_code": "27705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Serena Marie Sandiford, OTD, OTR/L
• Aaron Sandler, M.D., PH.D.
• Kiara Sandoval
• Daimisy Sands, NP
• Kierstyn Haley-Nicole Sandwell
• Kathleen Sanford
• Kaylee Ann Sanford, DPT
• William Farnam Sanford III, PAC
• Archana Sangamanarayanan
• Carolyn Sangokoya, M.D., PHD

• Neonatal Nurse Practitioner in Durham, NC
• Providers in Durham, NC by specialty
• Neonatal Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.