Active NPI
Cassandra Celeste Elizondo, MSN, RN, FNP-C
- Family Nurse Practitioner
- Eugene, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 202005223NP-PP
- Practice address
- 4135 Quest Dr
Eugene, OR 97402-8768 - Phone
- (541) 461-8006
- NPI assigned
- Feb 22, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 830045 | TX | |
| Family Nurse Practitioner | 363LF0000X | AP140538 | TX | |
| Family Nurse Practitioner | 363LF0000X | 202005223NP-PP | OR | Primary |
Addresses
Primary practice location
4135 Quest Dr
Eugene, OR 97402-8768
Mailing address
PO Box 1648
Eugene, OR 97440-1648
Phone (541) 687-4900
Other practice location 1
4444 Corona Dr Ste 107
Corpus Christi, TX 78411-4374
Phone (361) 400-1886
Other practice location 2
14041 Northwest Blvd Ste 1
Corpus Christi, TX 78410-5138
Phone (361) 767-9963
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 830045 | TX | MD | Registered Nurse |
| 202005223NP-PP | OR | MD | Family Nurse Practitioner |
| AP140538 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oregon Healthcare Resources, LLC | Current | Accepting new patients |
Locations
4135 Quest Dr
Eugene, OR 97402
Phone (541) 461-8006
3915 River Rd
Eugene, OR 97404
Phone (541) 359-2816
2000 N 19th St
Springfield, OR 97477
Phone (541) 284-1694
Interoperability endpoints
- cassandra.elizondo@almouiemd.directbygreenway.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Eugene, OR
- NPI 1982907572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600214400000",
"number": "1467919704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1648",
"city": "EUGENE",
"state": "OR",
"postal_code": "974401648",
"telephone_number": "541-687-4900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4135 QUEST DR",
"city": "EUGENE",
"state": "OR",
"postal_code": "974028768",
"telephone_number": "541-461-8006"
}
],
"practiceLocations": [
{
"address_1": "4444 Corona Dr Ste 107",
"address_purpose": "LOCATION",
"city": "Corpus Christi",
"state": "TX",
"postal_code": "784114374",
"country_code": "US",
"telephone_number": "361-400-1886",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14041 Northwest Blvd Ste 1",
"address_purpose": "LOCATION",
"city": "Corpus Christi",
"state": "TX",
"postal_code": "784105138",
"country_code": "US",
"telephone_number": "361-767-9963",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELIZONDO",
"first_name": "CASSANDRA",
"middle_name": "CELESTE",
"credential": "MSN, RN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-22",
"last_updated": "2020-09-16",
"certification_date": "2020-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "830045",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP140538",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "202005223NP-PP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; 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.