Kassandra Ann Ferdinand, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

RT007392 Issued in PA

Practice address

7452 Admiral Peary Hwy Ste 3
Cresson, PA 16630-1706

Phone

(814) 408-2092

NPI assigned

Feb 24, 2021

Last updated

Feb 24, 2021By 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 1

Addresses

Other identifiers 1

Electronic endpoints 2

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": "1614124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1467046946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7452 ADMIRAL PEARY HWY STE 3",
            "city": "CRESSON",
            "state": "PA",
            "postal_code": "166301706",
            "telephone_number": "814-408-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7452 ADMIRAL PEARY HWY STE 3",
            "city": "CRESSON",
            "state": "PA",
            "postal_code": "166301706",
            "telephone_number": "814-408-2092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERDINAND",
        "first_name": "KASSANDRA",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-24",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT007392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATHLETIC TRAINER",
            "identifier": "RT007392",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kaferdinand@drayerpt.com",
            "affiliation": "N",
            "address_1": "401 Linden Ave",
            "city": "Cresson",
            "state": "PA",
            "country_code": "US",
            "postal_code": "166301359",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kaferdinand@drayerpt.com",
            "affiliation": "N",
            "address_1": "7452 Admiral Peary Hwy Ste 3",
            "city": "Cresson",
            "state": "PA",
            "country_code": "US",
            "postal_code": "166301706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Athletic Trainer in Cresson, PA
• Providers in Cresson, PA by specialty
• Athletic Trainer in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; 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.