Cassity Wright Ballentine, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

7382912-1206 Issued in UT

Practice address

5292 College Dr
Suite 201
Murray, UT 84123-2958

Phone

(385) 232-4457

NPI assigned

Jul 31, 2006

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

Other names 1

• Cassity Wright Former name

Medicare fee-for-service enrollment

Enrolled in UT

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Intermountain Heart Center, PC

  • Cardiovascular Disease Physician
  • Murray, UT
  • NPI 1700897923

  UT

  Medicare reassignment
• American Heart and Vascular Institute PC

  • Interventional Cardiology Physician
  • Murray, UT
  • NPI 1396390316
  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301961600000",
    "number": "1790790111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9242 TARGHEE DR",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840886357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5292 COLLEGE DR",
            "address_2": "SUITE 201",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841232958",
            "telephone_number": "385-232-4457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLENTINE",
        "first_name": "CASSITY",
        "middle_name": "WRIGHT",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2011-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "7382912-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASSITY",
            "last_name": "WRIGHT",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sanjeev Bakshi, MD
• Balance for Life Center LLC
• Janet Balbierz, MD
• Sydney Balis, SLP
• Craig Richard Ballard, MD
• Benjamin Bamba
• Janice Bang Eckman, PMHNP-BC
• Byron Rey Bankhead, MD
• Duane Robert Banks, MD
• Robert Chad Bannon, PA-C

• All providers in Murray, UT
• Physician Assistant in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.