Active NPI
Nicole L Cass, CNP
- Pediatric Nurse Practitioner
- Dublin, OH
National Provider Identifier
1508205188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- COA.14537-NP
- Practice address
- 5040 Bradenton Ave
Dublin, OH 43017-3520 - Phone
- (614) 766-3344
- Fax
- (614) 766-3330
- NPI assigned
- Jun 18, 2013
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | COA.14537-NP | OH | Primary |
Addresses
Primary practice location
5040 Bradenton Ave
Dublin, OH 43017-3520
Mailing address
5040 Bradenton Ave
Dublin, OH 43017-3520
Phone (614) 766-3344
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
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COA.14537-NP | OH | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371513600000",
"number": "1508205188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5040 BRADENTON AVE",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430173520",
"telephone_number": "614-766-3344",
"fax_number": "614-766-3330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5040 BRADENTON AVE",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430173520",
"telephone_number": "614-766-3344",
"fax_number": "614-766-3330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASS",
"first_name": "NICOLE",
"middle_name": "L",
"credential": "CNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-18",
"last_updated": "2013-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "OH",
"license": "COA.14537-NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dublin, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.