Active NPI
Cassandra Niemann, AUD
- Audiologist
- Winter Park, FL
National Provider Identifier
1912434713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AY715
- Practice address
- 133 Benmore Dr
Suite 100
Winter Park, FL 32792-4111 - Phone
- (407) 644-4883
- Fax
- (407) 644-3697
- NPI assigned
- May 11, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | AY715 | FL | Primary |
Addresses
Primary practice location
133 Benmore Dr
Suite 100
Winter Park, FL 32792-4111
Mailing address
133 Benmore Dr
Suite 100
Winter Park, FL 32792-4111
Phone (407) 644-4883
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AY715 | Other | FL | STATE LICENSE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AY715 | FL | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494460800000",
"number": "1912434713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 BENMORE DR",
"address_2": "SUITE 100",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327924111",
"telephone_number": "407-644-4883",
"fax_number": "407-644-3697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 BENMORE DR",
"address_2": "SUITE 100",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327924111",
"telephone_number": "407-644-4883",
"fax_number": "407-644-3697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIEMANN",
"first_name": "CASSANDRA",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-11",
"last_updated": "2017-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "FL",
"license": "AY715",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "AY715",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.