Individual provider Active NPI

Cassandra Lee Besabe, APRN FNP-BC

  • Family Nurse Practitioner
  • Fort Walton Beach, FL
National Provider Identifier
1891590618
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11037677 Issued in FL
Practice address
84 Laurie Dr NE
Fort Walton Beach, FL 32548-5153
Phone
(850) 376-8093
NPI assigned
Feb 17, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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 APRN11037677 FL Primary

Addresses

Primary practice location

84 Laurie Dr NE
Fort Walton Beach, FL 32548-5153

Mailing address

84 Laurie Dr NE
Fort Walton Beach, FL 32548-5153
Phone (850) 376-8093

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
APRN11037677FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1739750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1891590618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 LAURIE DR NE",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325485153",
            "telephone_number": "850-376-8093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 LAURIE DR NE",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325485153",
            "telephone_number": "850-376-8093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BESABE",
        "first_name": "CASSANDRA",
        "middle_name": "LEE",
        "credential": "APRN FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-17",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11037677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Walton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; 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.