Active NPI
Cassie Ekdahl
- Nurse Practitioner
- Katy, TX
National Provider Identifier
1457719775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP130397
- Practice address
- 21700 Kingsland Blvd
Suite 104
Katy, TX 77450-2545 - Phone
- (281) 829-6570
- NPI assigned
- Feb 1, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP130397 | TX | Primary |
Addresses
Primary practice location
21700 Kingsland Blvd
Suite 104
Katy, TX 77450-2545
Mailing address
21700 Kingsland Blvd
Suite 104
Katy, TX 77450-2545
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
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456185600000",
"number": "1457719775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21700 KINGSLAND BLVD",
"address_2": "SUITE 104",
"city": "KATY",
"state": "TX",
"postal_code": "774502545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21700 KINGSLAND BLVD",
"address_2": "SUITE 104",
"city": "KATY",
"state": "TX",
"postal_code": "774502545",
"telephone_number": "281-829-6570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EKDAHL",
"first_name": "CASSIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-01",
"last_updated": "2016-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "AP130397",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Katy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.