Active NPI
Dianne Otero Cassidy, IBCLC
- Specialist
- Rochester, NY
National Provider Identifier
1740506906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 108-42131
- Practice address
- 175 W Meadows Dr
Rochester, NY 14616-3408 - Phone
- (585) 261-4834
- NPI assigned
- Apr 13, 2010
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 108-42131 | NY | Primary |
Addresses
Primary practice location
175 W Meadows Dr
Rochester, NY 14616-3408
Mailing address
175 W Meadows Dr
Rochester, NY 14616-3408
Phone (585) 261-4834
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 |
|---|---|---|---|
| 108-42131 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370908800000",
"number": "1740506906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 W MEADOWS DR",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146163408",
"telephone_number": "585-261-4834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 W MEADOWS DR",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146163408",
"telephone_number": "585-261-4834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASSIDY",
"first_name": "DIANNE",
"middle_name": "OTERO",
"name_prefix": "Ms.",
"credential": "IBCLC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-13",
"last_updated": "2013-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "108-42131",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.