Kasandra Humburg, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

140250 Issued in IA

Practice address

320 N Eisenhower Ave
Mason City, IA 50401-1521

Phone

(641) 424-2391

Fax

(641) 424-0783

NPI assigned

Feb 15, 2022

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

Other identifiers 1

Other names 1

• Kasandra Smith Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1644883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1871248229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 293",
            "city": "VENTURA",
            "state": "IA",
            "postal_code": "504820293",
            "telephone_number": "641-512-5285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 N EISENHOWER AVE",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504011521",
            "telephone_number": "641-424-2391",
            "fax_number": "641-424-0783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMBURG",
        "first_name": "KASANDRA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-15",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IA",
            "license": "140250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE LICENSE",
            "identifier": "140250",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "khumburg@prairieridge.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "320 N Eisenhower Ave",
            "city": "Mason City",
            "state": "IA",
            "country_code": "US",
            "postal_code": "504011521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KASANDRA",
            "last_name": "SMITH",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jaime Huddleston
• Krishna Hughes, ARNP
• Lissan Hugo-Main, B.A.
• Taylor J Huinker, FNP
• Burt Humburg, MD
• Samuel R Hunt, MD
• Kalei Marie Huper, CRNA
• Rachel Hupke, M.P.A.S. PA-C
• HW Holdings (All About Eyes)
• Hy-Vee Inc (Hy-Vee Drugstore (7056))

• Registered Nurse in Mason City, IA
• Providers in Mason City, IA by specialty
• Registered Nurse in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; 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.