Cassandra Mombrun, CPNP-PC

Primary specialty

Pediatric Registered NurseTaxonomy code 163WP0200X

License

RN272011 Issued in MA

Practice address

36 1St Ave
Boston, MA 02129-4557

Phone

(671) 643-6432

NPI assigned

Oct 3, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1727913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1538988936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 1ST AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021294557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 1ST AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021294557",
            "telephone_number": "671-643-6432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOMBRUN",
        "first_name": "CASSANDRA",
        "credential": "CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-03",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "MA",
            "license": "RN272011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brona Muireann Moloney, MBBCH BAO
• Carole H Moloney, PNP
• Michael Molta II, PA-C
• Amy Lee Molten, MD
• Bradley John Molyneaux, MD, PHD
• Amanda Moment, MSW, LCSW
• Kaveh Momenzadeh, MD
• Kerby Mompiont
• Cynthia A. Mompremier, DNP-FNP
• Paul A. Monach, MD, PHD

• Pediatric Registered Nurse in Boston, MA
• Providers in Boston, MA by specialty
• Pediatric Registered Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; 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.