Active NPI
Cassandra Jones, CP
- Prosthetist
- Rocky Mount, NC
National Provider Identifier
1669730404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- Practice address
- 113 Kandemor LN
Rocky Mount, NC 27804-3212 - Phone
- (252) 443-5116
- Fax
- (252) 443-5347
- NPI assigned
- Apr 30, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetist | 224P00000X | Primary |
Addresses
Primary practice location
113 Kandemor LN
Rocky Mount, NC 27804-3212
Mailing address
113 Kandemor LN
Rocky Mount, NC 27804-3212
Phone (252) 443-5116
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7700148 | Medicaid | SC |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335744000000",
"number": "1669730404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 KANDEMOR LN",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278043212",
"telephone_number": "252-443-5116",
"fax_number": "252-443-5347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 KANDEMOR LN",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278043212",
"telephone_number": "252-443-5116",
"fax_number": "252-443-5347"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "CASSANDRA",
"credential": "CP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-30",
"last_updated": "2012-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7700148",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rocky Mount, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.