Cassandra Renae Stevens

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

CHW1-6502 Issued in NV

Practice address

400 Shadow LN Ste 104
Las Vegas, NV 89106-4355

Phone

(702) 731-0909

Fax

(702) 826-4757

NPI assigned

Sep 19, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IDEACA

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.

• Center for Autism & Behavior Analysis, LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1447600143
  NPD (past)
• Firstmed Health and Wellness Center Inc

  • Federally Qualified Health Center (FQHC)
  • Las Vegas, NV
  • NPI 1396054169
  NPD (past)

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778198400000",
    "number": "1780307470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4730 S FORT APACHE RD STE 180",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891477946",
            "telephone_number": "702-731-0909",
            "fax_number": "725-205-8304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SHADOW LN STE 104",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064355",
            "telephone_number": "702-731-0909",
            "fax_number": "702-826-4757"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 N Pecos Rd Bldg M",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891012400",
            "country_code": "US",
            "telephone_number": "702-731-0909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "CASSANDRA",
        "middle_name": "RENAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-19",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NV",
            "license": "CHW1-6502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Christopher Stevens-Andro
• Carolyn Lisa Claire Stevens-Wood
• Amy G Stevens, RD
• Andrea L Stevens
• Candace Monique Stevens
• Charlie Stevens
• Dale Stevens
• Dale Stevens Sr.
• David Markus Stevens
• De'Anthony Stevens

• Community Health Worker in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Community Health Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2026; 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.