Active NPI
Bonnie Cassani-Brandt, MLI
- Case Manager/Care Coordinator
- Pawtucket, RI
National Provider Identifier
1487787990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- MLI-0018
- Practice address
- 33 Lafayette St
Pawtucket, RI 02860-6121 - Phone
- (401) 725-7922
- Fax
- (401) 726-8834
- NPI assigned
- Mar 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | MLI-0018 | RI | Primary |
Addresses
Primary practice location
33 Lafayette St
Pawtucket, RI 02860-6121
Mailing address
PO Box 40937
Providence, RI 02940-0937
Phone (401) 725-7922
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
| License | State | Type | Specialty |
|---|---|---|---|
| MLI-0018 | RI | MD | Case Manager/Care Coordinator |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Lead Management | Case Manager/Care Coordinator | Past | Accepting new patients |
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.
-
- Case Manager/Care Coordinator
- Pawtucket, RI
- NPI 1154454627
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487787990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 40937",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029400937",
"telephone_number": "401-725-7922",
"fax_number": "401-726-8834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 LAFAYETTE ST",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "028606121",
"telephone_number": "401-725-7922",
"fax_number": "401-726-8834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASSANI-BRANDT",
"first_name": "BONNIE",
"name_prefix": "Ms.",
"credential": "MLI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "RI",
"license": "MLI-0018",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pawtucket, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.