Active NPI
Cassandra L Lobrutto, RN
- Preferred Provider Organization
- Spencerport, NY
National Provider Identifier
1871840496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preferred Provider Organization
- License
- 597441-1
- Practice address
- 23 Longbow Cir
Spencerport, NY 14559-9590 - Phone
- (585) 362-9495
- NPI assigned
- Aug 14, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Preferred Provider Organization | 305R00000X | 597441-1 | NY | Primary |
Addresses
Primary practice location
23 Longbow Cir
Spencerport, NY 14559-9590
Mailing address
23 Longbow Cir
Spencerport, NY 14559-9590
Phone (585) 362-9495
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 597441-1 | NY | MD | Preferred Provider Organization |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344902400000",
"number": "1871840496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 LONGBOW CIR",
"city": "SPENCERPORT",
"state": "NY",
"postal_code": "145599590",
"telephone_number": "585-362-9495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 LONGBOW CIR",
"city": "SPENCERPORT",
"state": "NY",
"postal_code": "145599590",
"telephone_number": "585-362-9495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOBRUTTO",
"first_name": "CASSANDRA",
"middle_name": "L",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-14",
"last_updated": "2012-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "305R00000X",
"taxonomy_group": "",
"desc": "Preferred Provider Organization",
"state": "NY",
"license": "597441-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spencerport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.