Individual provider Active NPI

Cassandra May Cabrera

  • Medical Physician Assistant
  • Rio Grande City, TX
National Provider Identifier
1891192811
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA09924 Issued in TX
Practice address
5326 E US Highway 83 Ste A2
Rio Grande City, TX 78582-9409
Phone
(956) 476-4074
NPI assigned
Nov 20, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA09924 TX Primary

Addresses

Primary practice location

5326 E US Highway 83 Ste A2
Rio Grande City, TX 78582-9409

Mailing address

5326 E US Highway 83 Ste A2
Rio Grande City, TX 78582-9409
Phone (956) 476-4074

Other practice location 1

1920 E. Griffin Pkwy
Mission, TX 78572
Phone (956) 584-3353

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180807000276 TX Practitioner - Physician Assistant 7012265119 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1416441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1891192811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5326 E US HIGHWAY 83 STE A2",
            "city": "RIO GRANDE CITY",
            "state": "TX",
            "postal_code": "785829409",
            "telephone_number": "956-476-4074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5326 E US HIGHWAY 83 STE A2",
            "city": "RIO GRANDE CITY",
            "state": "TX",
            "postal_code": "785829409",
            "telephone_number": "956-476-4074"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1920 E. Griffin Pkwy",
            "address_purpose": "LOCATION",
            "city": "Mission",
            "state": "TX",
            "postal_code": "78572",
            "country_code": "US",
            "telephone_number": "956-584-3353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CABRERA",
        "first_name": "CASSANDRA",
        "middle_name": "MAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-20",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA09924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Grande City, TX

Sources for this page

Verify at the official NPI Registry.