Individual provider Active NPI

Anne Cassens, RN, IBCLC

  • Lactation Consultant (Registered Nurse)
  • Prior Lake, MN
National Provider Identifier
1609238120
Registry record updated Mar 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
R1171365 Issued in MN
Practice address
16323 Stemmer Ridge Rd NW
Prior Lake, MN 55379-9477
Phone
(612) 750-5535
NPI assigned
Mar 23, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse) 163WL0100X R1171365 MN Primary

Addresses

Primary practice location

16323 Stemmer Ridge Rd NW
Prior Lake, MN 55379-9477

Mailing address

16323 Stemmer Ridge Rd NW
Prior Lake, MN 55379-9477

Other identifiers 2

IdentifierTypeStateIssuer
L-20954OtherIBLCE INTERNATIONAL BOARD OF LACTATION CONSULTANT EXAMINERS
R1171365OtherMNBOARD OF NURSING

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
R1171365MNMDLactation Consultant (Registered Nurse)

NPI Registry JSON

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

{
    "created_epoch": "1458691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458691200000",
    "number": "1609238120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16323 STEMMER RIDGE RD NW",
            "city": "PRIOR LAKE",
            "state": "MN",
            "postal_code": "553799477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16323 STEMMER RIDGE RD NW",
            "city": "PRIOR LAKE",
            "state": "MN",
            "postal_code": "553799477",
            "telephone_number": "612-750-5535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSENS",
        "first_name": "ANNE",
        "credential": "RN, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-23",
        "last_updated": "2016-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "MN",
            "license": "R1171365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBLCE INTERNATIONAL BOARD OF LACTATION CONSULTANT EXAMINERS",
            "identifier": "L-20954",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF NURSING",
            "identifier": "R1171365",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prior Lake, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2016; 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.