Liudmila Siarheeuna Cassidy

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

27604 Issued in SC

Practice address

170 Amendment Ave
Rock Hill, SC 29732-3073

Phone

(803) 324-7607

NPI assigned

Jan 16, 2023

Last updated

Sep 14, 2023By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Digestive Disease Associates of York Coutny PA

  • Specialist
  • Rock Hill, SC
  • NPI 1083679427
  NPD

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

{
    "created_epoch": "1673827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1477268464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 AMENDMENT AVE",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297323073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 AMENDMENT AVE",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297323073",
            "telephone_number": "803-324-7607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSIDY",
        "first_name": "LIUDMILA",
        "middle_name": "SIARHEEUNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-16",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "SC",
            "license": "27604",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Duke Cary, LPC, CEAP, CRC, CRP
• Shepherd Claire Cary, LMSW
• Kelly Ann Casale, PT
• Patrick Richard Casey, PT
• Shannon Cassani, BCBA
• Sakesha Yolonda Caston, O.D.
• Catawba Indian HLTH Ctr Pharmacy
• Catawba Mental Health Center
• Catawba Nation Health System
• Catawba Nation Health System Pharmacy

• Adult Health Nurse Practitioner in Rock Hill, SC
• Providers in Rock Hill, SC by specialty
• Adult Health Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; 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.