Individual provider Active NPI

Cassandra L Ditchfield, NP

  • Nurse Practitioner
  • Hickory, NC
National Provider Identifier
1598274532
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5009896 Issued in NC
Practice address
2406 Century PL SE
Hickory, NC 28602-4031
Phone
(828) 324-9550
Fax
(828) 324-4154
NPI assigned
Sep 21, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5009896 NC Primary

Addresses

Primary practice location

2406 Century PL SE
Hickory, NC 28602-4031

Mailing address

PO Box 3710
Hickory, NC 28603-3710
Phone (828) 324-9550

Other practice location 1

10030 Gilead Rd Ste 350
Huntersville, NC 28078-7545
Phone (704) 799-3946

Other practice location 2

170 Medical Park Rd Ste 101
Mooresville, NC 28117
Phone (704) 799-3946

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171127002402 NC Practitioner - Nurse Practitioner 1759648918 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5009896NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Oncology Specialist PA CurrentSince Dec 23, 2022 Accepting new patients

Locations

2406 Century Pl SE
Hickory, NC 28602
Phone (828) 324-9550

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.

NPI Registry JSON

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

{
    "created_epoch": "1505952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1598274532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3710",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286033710",
            "telephone_number": "828-324-9550",
            "fax_number": "828-324-4154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2406 CENTURY PL SE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286024031",
            "telephone_number": "828-324-9550",
            "fax_number": "828-324-4154"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10030 Gilead Rd Ste 350",
            "address_purpose": "LOCATION",
            "city": "Huntersville",
            "state": "NC",
            "postal_code": "280787545",
            "country_code": "US",
            "telephone_number": "704-799-3946",
            "fax_number": "704-799-3956",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "170 Medical Park Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Mooresville",
            "state": "NC",
            "postal_code": "28117",
            "country_code": "US",
            "telephone_number": "704-799-3946",
            "fax_number": "704-799-3956",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DITCHFIELD",
        "first_name": "CASSANDRA",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-21",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5009896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

Verify at the official NPI Registry.