Active NPI
Cassandra Hack
- Registered Nurse
- San Antonio, TX
National Provider Identifier
1700386679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 567428
- Practice address
- 12511 Ponder RNCH
San Antonio, TX 78245-3563 - Phone
- (210) 862-9272
- NPI assigned
- Feb 17, 2018
- Last updated
- Feb 17, 2018
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 567428 | TX | Primary |
Addresses
Primary practice location
12511 Ponder RNCH
San Antonio, TX 78245-3563
Mailing address
8001 S US Highway 75
Sherman, TX 75090-5707
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 |
|---|---|---|---|
| 567428 | TX | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aoc FL, LLC | Past | Accepting new patients | |
| Aoc TX, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Angels of Care Pediatric Home Health
- Home Health Agency
- Spring Hill, FL
- NPI 1538704671
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518825600000",
"number": "1700386679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8001 S US HIGHWAY 75",
"city": "SHERMAN",
"state": "TX",
"postal_code": "750905707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12511 PONDER RNCH",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782453563",
"telephone_number": "210-862-9272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HACK",
"first_name": "CASSANDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-17",
"last_updated": "2018-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "567428",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.