Nadia Jolie Cassanguir

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

License

9557460 Issued in AZ

Practice address

12379 W Whyman Ave
Avondale, AZ 85323-1241

Phone

(623) 313-0532

NPI assigned

Feb 23, 2023

Last updated

Feb 23, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Nadia Kassongo Former name

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": "1677110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1669171153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12379 W WHYMAN AVE",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853231241",
            "telephone_number": "623-313-0532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12379 W WHYMAN AVE",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853231241",
            "telephone_number": "623-313-0532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSANGUIR",
        "first_name": "NADIA",
        "middle_name": "JOLIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-23",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": "AZ",
            "license": "9557460",
            "primary": false
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "AZ",
            "license": "9557460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NADIA",
            "last_name": "KASSONGO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael Louis Carrion
• Carlos Casamalhuapa
• Erin Kathryn Casey Yale
• Olivia Casillas, LCSW
• Deborah Cason, R.N.
• Ahtziri Castro
• Aracely Castro
• Desiree Castro
• Shareece Castro
• Teresa Catheline

• Foster Care Agency in Avondale, AZ
• Providers in Avondale, AZ by specialty
• Foster Care Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; 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.