Individual provider Active NPI

Jessie L Cassada, AU.D., F-AAA

  • Audiologist
  • Derry, NH
National Provider Identifier
1538471685
Registry record updated Apr 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A587 Issued in NH
Practice address
44 Birch St Ste 304a
Derry, NH 03038-2752
Phone
(603) 432-8104
NPI assigned
Jul 6, 2010
Last updated
Apr 17, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 998 MA
Audiologist 231H00000X 8052577 VT
Audiologist 231H00000X A587 NH Primary

Addresses

Primary practice location

44 Birch St Ste 304a
Derry, NH 03038-2752

Mailing address

44 Birch St
Ste 304
Derry, NH 03038-2752
Phone (603) 880-0090

Other identifiers 2

IdentifierTypeStateIssuer
1022109MedicaidVT
110094374AMedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110201000176 NH Practitioner - Qualified Audiologist 5496934846 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Keith D. Jorgensen, MD, PAGroup PAC ID 1658373568, 3 clinicians

Practice addresses (Care Compare)

44 Birch St
Suite 304
Derry, NH 03038-2752
Phone (603) 432-8104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
998MAMDPhysical Therapy Assistant
8052577VTMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Keith D. Jorgensen, MD, PA CurrentSince Apr 8, 2019 Accepting new patients
Audiology Affiliates of Hear Better, Inc Audiologist Past Accepting new patients

Locations

44 Birch St
Ste 304
Derry, NH 03038
Phone (603) 432-8104

44 Birch St
Ste 304A
Derry, NH 03038
Phone (603) 432-8104

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1278374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555459200000",
    "number": "1538471685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 BIRCH ST",
            "address_2": "STE 304",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030382752",
            "telephone_number": "603-880-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 BIRCH ST STE 304A",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030382752",
            "telephone_number": "603-432-8104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSADA",
        "first_name": "JESSIE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "AU.D., F-AAA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-06",
        "last_updated": "2019-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MA",
            "license": "998",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "VT",
            "license": "8052577",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NH",
            "license": "A587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1022109",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110094374A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Derry, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.