Individual provider Active NPI

Cassandra Renee Bush, PA-C

  • Physician Assistant
  • Birmingham, AL
National Provider Identifier
1760497697
Registry record updated Jun 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA805 Issued in AL
Practice address
3525 Richard Arrington Jr Blvd N
Birmingham, AL 35234-2307
Phone
(205) 705-3180
Fax
(205) 705-3189
NPI assigned
Jul 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA805 AL Primary

Addresses

Primary practice location

3525 Richard Arrington Jr Blvd N
Birmingham, AL 35234-2307

Mailing address

3525 Richard Arrington Jr Blvd N
Birmingham, AL 35234-2307
Phone (205) 705-3180

Other names 1

  • Cassandra Renee Stipati Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120830000325 AL Practitioner - Physician Assistant 4385681600 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Vincent'S Urgent Care LLCGroup PAC ID 9032463666, 5 clinicians

Practice addresses (Care Compare)

1944 28TH Ave S
Homewood, AL 35209-2605
Phone (205) 408-2366

3140 Cahaba Heights Rd
Vestavia, AL 35243-5243
Phone (205) 408-2366

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
17735CAMDMassage Therapist
PA805ALMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Symbol Health Solutions, L.LC. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cassandra.bush.1@9069.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435017600000",
    "number": "1760497697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 RICHARD ARRINGTON JR BLVD N",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352342307",
            "telephone_number": "205-705-3180",
            "fax_number": "205-705-3189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 RICHARD ARRINGTON JR BLVD N",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352342307",
            "telephone_number": "205-705-3180",
            "fax_number": "205-705-3189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSH",
        "first_name": "CASSANDRA",
        "middle_name": "RENEE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-29",
        "last_updated": "2015-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "PA805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASSANDRA",
            "last_name": "STIPATI",
            "middle_name": "RENEE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.