Individual provider Active NPI

Cassandra Jewell Vaxmonsky, RRA, RPA

  • Radiology Practitioner Assistant
  • Plano, TX
National Provider Identifier
1477360485
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Practitioner AssistantTaxonomy code 243U00000X
License
MRA02000050 Issued in TX
Practice address
1820 Preston Park Blvd Ste 2400
Plano, TX 75093-3716
Phone
(972) 599-9327
Fax
(972) 370-5963
NPI assigned
Dec 12, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Practitioner Assistant 243U00000X 24FL1216 FL
Radiologic Technologist 247100000X GMR02004190 TX
Radiology Practitioner Assistant 243U00000X MRA02000050 TX Primary
Radiologic Technologist 247100000X 531193
Radiology Practitioner Assistant 243U00000X 24FL1216

Addresses

Primary practice location

1820 Preston Park Blvd Ste 2400
Plano, TX 75093-3716

Mailing address

1820 Preston Park Blvd Ste 2400
Plano, TX 75093-3716
Phone (972) 599-9327

Other names 1

  • Cassandra Jewell Verzwyvelt Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
GMR02004190TXMDRadiologic Technologist

NPI Registry JSON

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

{
    "created_epoch": "1733961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1477360485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 PRESTON PARK BLVD STE 2400",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750933716",
            "telephone_number": "972-599-9327",
            "fax_number": "972-370-5963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 PRESTON PARK BLVD STE 2400",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750933716",
            "telephone_number": "972-599-9327",
            "fax_number": "972-370-5963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAXMONSKY",
        "first_name": "CASSANDRA",
        "middle_name": "JEWELL",
        "credential": "RRA, RPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-12",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "243U00000X",
            "taxonomy_group": "",
            "desc": "Radiology Practitioner Assistant",
            "state": "FL",
            "license": "24FL1216",
            "primary": false
        },
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": "TX",
            "license": "GMR02004190",
            "primary": false
        },
        {
            "code": "243U00000X",
            "taxonomy_group": "",
            "desc": "Radiology Practitioner Assistant",
            "state": "TX",
            "license": "MRA02000050",
            "primary": true
        },
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": null,
            "license": "531193",
            "primary": false
        },
        {
            "code": "243U00000X",
            "taxonomy_group": "",
            "desc": "Radiology Practitioner Assistant",
            "state": null,
            "license": "24FL1216",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASSANDRA",
            "last_name": "VERZWYVELT",
            "middle_name": "JEWELL",
            "credential": "RRA, RPA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; 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.