Active NPI
Cassandra Annette Whitehead
- Hearing Instrument Specialist
- Lufkin, TX
National Provider Identifier
1699043760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 80478
- Practice address
- 121 Gaslight Medical Pkwy
Suite 100
Lufkin, TX 75904-3147 - Phone
- (936) 699-3141
- Fax
- (936) 699-3145
- NPI assigned
- Dec 5, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 80478 | TX | Primary |
Addresses
Primary practice location
121 Gaslight Medical Pkwy
Suite 100
Lufkin, TX 75904-3147
Mailing address
121 Gaslight Medical Pkway
Suite 100
Lufkin, TX 75904-3147
Phone (936) 699-3141
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80478 | TX | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324944000000",
"number": "1699043760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 GASLIGHT MEDICAL PKWAY",
"address_2": "SUITE 100",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759043147",
"telephone_number": "936-699-3141",
"fax_number": "936-699-3145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 GASLIGHT MEDICAL PKWY",
"address_2": "SUITE 100",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759043147",
"telephone_number": "936-699-3141",
"fax_number": "936-699-3145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITEHEAD",
"first_name": "CASSANDRA",
"middle_name": "ANNETTE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-05",
"last_updated": "2011-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "TX",
"license": "80478",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lufkin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.