Active NPI
Cassandra Jean Van Deusen
- Rehabilitation Practitioner
- Reno, NV
National Provider Identifier
1942572078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 17000 Wedge Pkwy
#1111
Reno, NV 89511-3307 - Phone
- (775) 790-5893
- NPI assigned
- Feb 6, 2012
- 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 |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | Primary |
Addresses
Primary practice location
17000 Wedge Pkwy
#1111
Reno, NV 89511-3307
Mailing address
17000 Wedge Pkwy
#1111
Reno, NV 89511-3307
Phone (775) 790-5893
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328486400000",
"number": "1942572078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17000 WEDGE PKWY",
"address_2": "#1111",
"city": "RENO",
"state": "NV",
"postal_code": "895113307",
"telephone_number": "775-790-5893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17000 WEDGE PKWY",
"address_2": "#1111",
"city": "RENO",
"state": "NV",
"postal_code": "895113307",
"telephone_number": "775-790-5893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN DEUSEN",
"first_name": "CASSANDRA",
"middle_name": "JEAN",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-06",
"last_updated": "2012-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.