Individual provider Active NPI

Cassondra Leigh Barbara, FNP-BC

  • Family Nurse Practitioner
  • Tonawanda, NY
National Provider Identifier
1902422256
Registry record updated Jun 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
345508 Issued in NY
Practice address
1751 Sheridan Dr
Tonawanda, NY 14223-1211
Phone
(716) 541-0234
Fax
(716) 249-3765
NPI assigned
Jun 23, 2020
Last updated
Jun 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2020

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 345508 NY Primary

Addresses

Primary practice location

1751 Sheridan Dr
Tonawanda, NY 14223-1211

Mailing address

7224 Winbert Dr
North Tonawanda, NY 14120-1449
Phone (716) 238-5831

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200818003184 NY Practitioner - Nurse Practitioner 3779909932 Reassigns benefits to 4 organizations
I20220808002993 OH Practitioner - Nurse Practitioner 3779909932 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rocky Mountain Kidney Care Professional Service CorpGroup PAC ID 2860929833, 8 clinicians

Practice addresses (Care Compare)

1304 Buckley Rd
Suite 200
Syracuse, NY 13212-4317
Phone (469) 590-5955

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
345508NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Niagara Falls Memorial Medical Center CurrentSince Sep 3, 2024 Accepting new patients
Niagara Falls Memorial Medical Center CurrentSince Sep 3, 2024 Accepting new patients
Rocky Mountain Kidney Care Professional Service Corp CurrentSince Apr 23, 2025 Accepting new patients
Community Care Health Network LLC CurrentSince Jan 1, 2026 Accepting new patients
Matrix Medical of New York PC CurrentSince Jan 1, 2026 Accepting new patients
Wellnow Urgent Care, PC CurrentSince Aug 1, 2020 Accepting new patients
Transtreme, LLC Family Past Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

446 Fairview Ave
Ste 200
Hudson, NY 12534
Phone (518) 267-3496

7375 Oswego Rd
#1
Liverpool, NY 13090
Phone (315) 291-0064

1740 Broadway
Fl 15
New York, NY 10019
Phone (201) 256-5032

621 10th St
North Falls, NY 14301
Phone (716) 278-4000

2585 South Rd
Ste 15
Poughkeepsie, NY 12601
Phone (845) 471-6300

1304 Buckley Rd
Ste 200
Syracuse, NY 13212
Phone (315) 478-3311

1751 Sheridan Dr
Tonawanda, NY 14223
Phone (716) 541-0234

1690 Woodlands Dr
Ste 200
Maumee, OH 43537
Phone (419) 491-0420

424 Church St
Ste 2600
Nashville, TN 37219
Phone (480) 450-3721

5851 Legacy Cir
Ste 900
Plano, TX 75024

Interoperability endpoints

  • Direct secure messaging: cassondra.barbara.1@19427.direct.athenahealth.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/3c975af8-28ae-4d97-adec-66228015b5a8/

Organizations & group practices 8

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1902422256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7224 WINBERT DR",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141201449",
            "telephone_number": "716-238-5831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 SHERIDAN DR",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "142231211",
            "telephone_number": "716-541-0234",
            "fax_number": "716-249-3765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARBARA",
        "first_name": "CASSONDRA",
        "middle_name": "LEIGH",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-23",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "345508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tonawanda, NY

Sources for this page

Verify at the official NPI Registry.