Individual provider Active NPI

Cassandra R Desmond, ANP-BC

  • Women's Health Nurse Practitioner
  • Southington, CT
National Provider Identifier
1760796551
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
12.010920 Issued in CT
Practice address
1131 West St Ste 2
Southington, CT 06489-6006
Phone
(860) 276-6800
Fax
(860) 276-6801
NPI assigned
Aug 4, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN2259179 MA
Women's Health Nurse Practitioner 363LW0102X RN2259179 MA
Nurse Practitioner 363L00000X RN2259179 MA
Adult Health Nurse Practitioner 363LA2200X 12.010920 CT
Women's Health Nurse Practitioner 363LW0102X 12.010920 CT Primary

Addresses

Primary practice location

1131 West St Ste 2
Southington, CT 06489-6006

Mailing address

1131 West St Ste 2
Southington, CT 06489-6006
Phone (860) 276-6800

Other practice location 1

33 Kendall St
Worcester, MA 01605-2726
Phone (508) 334-6255

Other names 1

  • Cassandra Ouellette Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address couellette206845@UmassMemorial.direct-ci.com
FHIR URL https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20221223001181 CT Practitioner - Nurse Practitioner 9931396694 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians for Women's Health, LLCGroup PAC ID 3274430665, 319 clinicians

Practice addresses (Care Compare)

103 Newtown Rd
Candlewood Center for Womens Health
Danbury, CT 06810-4195
Phone (203) 730-8789

1131 W St
2 Central CT OB/GYN
Southington, CT 06489-6006
Phone (860) 276-6800

Merit-based Incentive Payment System (MIPS)

Final score
89.08 of 100Reported as group
Quality
85.82
Promoting interoperability
100
Improvement activities
40
Cost
77.8

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
12.010920CTMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians for Women's Health LLC Women's Health CurrentSince Jan 3, 2023 Accepting new patients

Locations

25 Newell Rd
Ste E35
Bristol, CT 06010
Phone (860) 276-6800

103 Newtown Rd
Danbury, CT 06810
Phone (203) 730-8789

175 Capital Blvd
Fl 3
Rocky Hill, CT 06067

1131 West St
Ste 2
Southington, CT 06489
Phone (860) 276-6800

Interoperability endpoints

  • Direct secure messaging: couellette206845@umassmemorial.direct-ci.com

Organizations & group practices 1

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": "1280880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1760796551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 WEST ST STE 2",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064896006",
            "telephone_number": "860-276-6800",
            "fax_number": "860-276-6801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 WEST ST STE 2",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064896006",
            "telephone_number": "860-276-6800",
            "fax_number": "860-276-6801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33 Kendall St",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016052726",
            "country_code": "US",
            "telephone_number": "508-334-6255",
            "fax_number": "508-334-6063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESMOND",
        "first_name": "CASSANDRA",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "ANP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-04",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "RN2259179",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MA",
            "license": "RN2259179",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2259179",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CT",
            "license": "12.010920",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CT",
            "license": "12.010920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "couellette206845@UmassMemorial.direct-ci.com",
            "affiliation": "N",
            "address_1": "33 Kendall St",
            "city": "Worcester",
            "state": "MA",
            "country_code": "US",
            "postal_code": "016052726",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "33 Kendall St",
            "city": "Worcester",
            "state": "MA",
            "country_code": "US",
            "postal_code": "016052726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CASSANDRA",
            "last_name": "OUELLETTE",
            "credential": "ANP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Southington, CT

Sources for this page

Verify at the official NPI Registry.