Individual provider Active NPI

Luci Lee Redman Cassella, CRNP

  • Family Medicine Physician
  • Columbia, MD
National Provider Identifier
1730724220
Registry record updated Nov 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R241345 Issued in MD
Practice address
8900 Columbia 100 Parway Suite G
Columbia, MD 21045
Phone
(410) 740-9001
Fax
(410) 740-9005
NPI assigned
Nov 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R241345 MD Primary

Addresses

Primary practice location

8900 Columbia 100 Parway Suite G
Columbia, MD 21045

Mailing address

1022 S Bouldin St
Baltimore, MD 21224-5021
Phone (310) 343-3400

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

LicenseStateTypeSpecialty
R241345MDMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: lcassella657400@direct.hopkinsmedicine.org

NPI Registry JSON

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

{
    "created_epoch": "1573171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573171200000",
    "number": "1730724220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 S BOULDIN ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212245021",
            "telephone_number": "310-343-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 COLUMBIA 100 PARWAY SUITE G",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "21045",
            "telephone_number": "410-740-9001",
            "fax_number": "410-740-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSELLA",
        "first_name": "LUCI LEE",
        "middle_name": "REDMAN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-08",
        "last_updated": "2019-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "R241345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2019; 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.