Cassandra Jean Board, APRN

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

9199566 Issued in FL

Practice address

846 Lake Howell Rd
Maitland, FL 32751-5222

Phone

(407) 767-2477

Fax

(407) 767-1627

NPI assigned

Jul 13, 2017

Last updated

Oct 5, 2021By the provider in NPPES

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

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.

• New Interlachen Pediatrics, P.a.

  • Pediatrics Physician
  • Maitland, FL
  • NPI 1659380459
  NPD (past)
• Thomas a Fisk MD

  • Non-Pharmacy Dispensing Site
  • Maitland, FL
  • NPI 1376589481
  NPD (past)

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

{
    "created_epoch": "1499904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1801318589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "846 LAKE HOWELL RD",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327515222",
            "telephone_number": "407-767-2477",
            "fax_number": "407-767-1627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "846 LAKE HOWELL RD",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327515222",
            "telephone_number": "407-767-2477",
            "fax_number": "407-767-1627"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 W Broadway St",
            "address_purpose": "LOCATION",
            "city": "Oviedo",
            "state": "FL",
            "postal_code": "327659260",
            "country_code": "US",
            "telephone_number": "407-767-2477",
            "fax_number": "407-767-1627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOARD",
        "first_name": "CASSANDRA",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-13",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "9199566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas B Blake III, MD
• Blanche M Stokley, LMHC P.a.
• Michelle L Blanchette, LMHC
• Sofia Blanco
• Louis C Blumenfeld, MD
• Kristen Lynn Boccher, RD, LD/N
• Eileen Mary Bohan, OT
• Courtney Bolduc
• Bolick Clinic, Inc.
• Channing C Bolick, DC, MS

• Pediatric Nurse Practitioner in Maitland, FL
• Providers in Maitland, FL by specialty
• Pediatric Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; 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.