Andrea Kassem, NBC-HWC

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

License

484728478 Issued in TX

Practice address

502 Madison Oak Dr Ste 450
San Antonio, TX 78258-4806

Phone

(210) 730-9610

Fax

(210) 730-9693

NPI assigned

Jul 24, 2023

Last updated

Jul 24, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

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": "1690156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1841970811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 LEGEND BREEZE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782604317",
            "telephone_number": "210-867-3265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 MADISON OAK DR STE 450",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584806",
            "telephone_number": "210-730-9610",
            "fax_number": "210-730-9693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASSEM",
        "first_name": "ANDREA",
        "credential": "NBC-HWC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "163WX0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Oncology",
            "state": "TX",
            "license": "613927",
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "TX",
            "license": "484728478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy L. Kasner
• Virginia Barnes Kasner
• Arlene Vanessa Kasperkhan
• Jibrail Kasperkhan, M.D.
• Narges Kasraie
• Sara Wisam Kassim, DDS
• Mirna Kassis, DPT
• Heather Marie Kasten, NP
• Sylvia Kaster
• Venkata S. Katabathina, M.D.

• Health & Wellness Coach in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Health & Wellness Coach in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.