Individual provider Active NPI

Cassandra Rae Sayre, WHNP-BC

  • Women's Health Nurse Practitioner
  • Spencer, WV
National Provider Identifier
1780047548
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
APRN80983WHNPBC Issued in WV
Practice address
146 Williams Dr
Spencer, WV 25276-1826
Phone
(304) 927-1495
NPI assigned
Mar 30, 2016
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X APRN80983WHNPBC WV Primary

Addresses

Primary practice location

146 Williams Dr
Spencer, WV 25276-1826

Mailing address

146 Williams Dr
Spencer, WV 25276-1826
Phone (304) 927-1495

Other practice location 1

373 Summit St
Elgin, IL 60120
Phone (630) 705-1010

Other identifiers 2

IdentifierTypeStateIssuer
SAY104397686OtherNCC
SAY104397686OtherWVNCC CERTIFICATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20171109003297 WV Practitioner - Nurse Practitioner 5395001135 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN80983WHNPBCWVMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Roane County Family Health Care, Inc. CurrentSince Sep 11, 2017 Accepting new patients

Locations

146 Williams Dr
Spencer, WV 25276
Phone (304) 927-1495

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1459296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1780047548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 WILLIAMS DR",
            "city": "SPENCER",
            "state": "WV",
            "postal_code": "252761826",
            "telephone_number": "304-927-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 WILLIAMS DR",
            "city": "SPENCER",
            "state": "WV",
            "postal_code": "252761826",
            "telephone_number": "304-927-1495"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "373 Summit St",
            "address_purpose": "LOCATION",
            "city": "Elgin",
            "state": "IL",
            "postal_code": "60120",
            "country_code": "US",
            "telephone_number": "630-705-1010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAYRE",
        "first_name": "CASSANDRA",
        "middle_name": "RAE",
        "credential": "WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-30",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "WV",
            "license": "APRN80983WHNPBC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCC",
            "identifier": "SAY104397686",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCC CERTIFICATION",
            "identifier": "SAY104397686",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spencer, WV

Sources for this page

Verify at the official NPI Registry.