Active NPI
Cassandra Betts, RN
- Ambulatory Care Registered Nurse
- Hapeville, GA
National Provider Identifier
1912340928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Registered Nurse
- License
- RN148536
- Practice address
- 3580 Atlanta Ave
Hapeville, GA 30354-1706 - Phone
- (404) 768-3351
- Fax
- (404) 763-2002
- NPI assigned
- Apr 9, 2013
- 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 |
|---|---|---|---|---|
| Ambulatory Care Registered Nurse | 163WP2201X | RN148536 | GA | Primary |
Addresses
Primary practice location
3580 Atlanta Ave
Hapeville, GA 30354-1706
Mailing address
225 Main St Unit 1134
Hiram, GA 30141-6110
Phone (678) 748-0517
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 |
|---|---|---|---|
| RN148536 | GA | MD | Ambulatory Care Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365465600000",
"number": "1912340928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 MAIN ST UNIT 1134",
"city": "HIRAM",
"state": "GA",
"postal_code": "301416110",
"telephone_number": "678-748-0517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3580 ATLANTA AVE",
"city": "HAPEVILLE",
"state": "GA",
"postal_code": "303541706",
"telephone_number": "404-768-3351",
"fax_number": "404-763-2002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BETTS",
"first_name": "CASSANDRA",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-09",
"last_updated": "2013-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "163WP2201X",
"taxonomy_group": "",
"desc": "Registered Nurse, Ambulatory Care",
"state": "GA",
"license": "RN148536",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hapeville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.