Individual provider Active NPI

Cassandra Hodo, NP-C

  • Family Nurse Practitioner
  • Queen Creek, AZ
National Provider Identifier
1851779268
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP7744 Issued in AZ
Practice address
22707 S Ellsworth Rd Ste H101
Queen Creek, AZ 85142-7568
Phone
(480) 792-9200
Fax
(480) 792-9206
NPI assigned
May 18, 2015
Last updated
Feb 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP7744 AZ Primary

Addresses

Primary practice location

22707 S Ellsworth Rd Ste H101
Queen Creek, AZ 85142-7568

Mailing address

22707 S Ellsworth Rd Ste H101
Queen Creek, AZ 85142-7568
Phone (480) 792-9200

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
AP7744AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sonrisas Past Accepting new patients
Bethesda Pediatrics of Queen Creek Past Accepting new patients
Bethesda Pediatrics of Queen Creek PastSince Jan 17, 2021 Accepting new patients
Desert Valley Pediatrics Past Accepting new patients
Coolidge Pediatrics Past Accepting new patients
Healing Hearts Pediatrics Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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": "1431907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1851779268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22707 S ELLSWORTH RD STE H101",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851427568",
            "telephone_number": "480-792-9200",
            "fax_number": "480-792-9206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22707 S ELLSWORTH RD STE H101",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851427568",
            "telephone_number": "480-792-9200",
            "fax_number": "480-792-9206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODO",
        "first_name": "CASSANDRA",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-18",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP7744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queen Creek, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; 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.