Kasandra Marie Lassonde, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4454-154 Issued in WI

Practice address

2650 65TH Ave
Osceola, WI 54020-4370

Phone

(715) 294-1100

NPI assigned

May 30, 2017

Last updated

Nov 1, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Kasandra Marie Cedergren Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1496102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541030400000",
    "number": "1497283840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11045 MYERON RD N",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550828565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 65TH AVE",
            "city": "OSCEOLA",
            "state": "WI",
            "postal_code": "540204370",
            "telephone_number": "715-294-1100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "640 Elm St",
            "address_purpose": "LOCATION",
            "city": "Baldwin",
            "state": "WI",
            "postal_code": "540029358",
            "country_code": "US",
            "telephone_number": "715-684-3231",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1320 Wisconsin St",
            "address_purpose": "LOCATION",
            "city": "Hudson",
            "state": "WI",
            "postal_code": "540161861",
            "country_code": "US",
            "telephone_number": "715-386-9303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LASSONDE",
        "first_name": "KASANDRA",
        "middle_name": "MARIE",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-30",
        "last_updated": "2018-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "4454",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "4454-154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KASANDRA",
            "last_name": "CEDERGREN",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Taylor Alexandra Lundquist, DDS
• Jamie J Mason, MA, MFT
• Greg D Mattson, MD
• Debra Ann Melin, RN

• Speech-Language Pathologist in Osceola, WI
• Providers in Osceola, WI by specialty
• Speech-Language Pathologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2018; 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.