Individual provider Active NPI

Cassandra Celeste Elizondo, MSN, RN, FNP-C

  • Family Nurse Practitioner
  • Eugene, OR
National Provider Identifier
1467919704
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
202005223NP-PP Issued in OR
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

Updated by the provider on Sep 16, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200914001305 OR Practitioner - Nurse Practitioner 8628496288 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
830045TXMDRegistered Nurse
202005223NP-PPORMDFamily Nurse Practitioner
AP140538TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oregon Healthcare Resources, LLC CurrentSince Sep 14, 2020 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.