Cassandra Kernisant

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

730466 Issued in NY

Practice address

16030 120TH Ave
Jamaica, NY 11434-2120

Phone

(347) 522-4470

NPI assigned

Feb 7, 2022

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1644192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1780338905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 REMSEN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112365234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16030 120TH AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114342120",
            "telephone_number": "347-522-4470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERNISANT",
        "first_name": "CASSANDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-07",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NY",
            "license": "730466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tymarria Cherron Kendall, MHC-LP
• Joseph C Kennedy, LMSW
• Angela Kennerly, NURSE PRACTITIONER
• Eric Kenyon
• Sheila A Kern, PA-C
• Marie Carmelle Kernizan
• Soraya Veronique Kernizan, D.O.
• Olubukola Keshinro
• Kevin J. Grant D.D.S.,P.C.
• Kew Gardens Medical PC

• Home Health Registered Nurse in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Home Health Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; 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.