NPIMap

Individual provider Active NPI

Cassandra M Clark-Wheeler

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Kansas City, MO
National Provider Identifier
1811370406
Registry record updated Jul 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Practice address
15010 E 51St St
Kansas City, MO 64136-1142
Phone
(816) 478-9031
Fax
(816) 350-3406
NPI assigned
Jul 1, 2015
Last updated
Jul 1, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X NU Primary

Addresses

Primary practice location

15010 E 51St St
Kansas City, MO 64136-1142

Mailing address

4230 S Phelps Rd
Independence, MO 64055-5067
Phone (816) 478-9031

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Care by Cassie, Inc. Community Based Residential Treatment Facility, Intellectual and/Or Developmental Disabilities Past Accepting new patients
Care by Cassie Inc Community Based Residential Treatment Facility, Intellectual and/Or Developmental Disabilities Past Accepting new patients

Organizations & group practices 10

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": "1435708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435708800000",
    "number": "1811370406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4230 S PHELPS RD",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640555067",
            "telephone_number": "816-478-9031",
            "fax_number": "816-350-3406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15010 E 51ST ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641361142",
            "telephone_number": "816-478-9031",
            "fax_number": "816-350-3406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK-WHEELER",
        "first_name": "CASSANDRA",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-01",
        "last_updated": "2015-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; 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.