Tammy Sue Cassel, CNA
Individual provider Active NPI Nurse's Aide · Springfield, MI
NPI 1902244239 · NPPES record last updated Jun 9, 2013
Key facts
- NPI
- 1902244239
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse's Aide 376K00000X
- License
- 230015692121111 (MI)
- Practice address
- 111 Evergreen Rd
Springfield, MI 49037-7417 - Phone
- (269) 969-6110
- NPI assigned
- Jun 9, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 230015692121111 | MI | MD | Nurse's Aide |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 230015692121111 | MI | Yes |
Addresses
Primary practice location
111 Evergreen Rd
Springfield, MI 49037-7417
Mailing address
31 Mosher Ave
Battle Creek, MI 49037-1407
Phone (269) 579-0588
Other providers in Springfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.