Individual provider Active NPI

Joanne Cassavaw

  • Licensed Practical Nurse
  • Brushton, NY
National Provider Identifier
1851709752
Registry record updated Jul 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
150972 Issued in NY
Practice address
758 County Route 7
Brushton, NY 12916-3916
Phone
(518) 529-7324
Fax
(518) 529-0190
NPI assigned
Jul 24, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 150972 NY Primary

Addresses

Primary practice location

758 County Route 7
Brushton, NY 12916-3916

Mailing address

758 County Route 7
Brushton, NY 12916-3916
Phone (518) 529-7324

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

State licenses

LicenseStateTypeSpecialty
150972NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1406160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406160000000",
    "number": "1851709752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "758 COUNTY ROUTE 7",
            "city": "BRUSHTON",
            "state": "NY",
            "postal_code": "129163916",
            "telephone_number": "518-529-7324",
            "fax_number": "518-529-0190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "758 COUNTY ROUTE 7",
            "city": "BRUSHTON",
            "state": "NY",
            "postal_code": "129163916",
            "telephone_number": "518-529-7324",
            "fax_number": "518-529-0190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSAVAW",
        "first_name": "JOANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-24",
        "last_updated": "2014-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "150972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brushton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2014; 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.