Cassidy Barth, RN

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

041511922 Issued in IL

Practice address

900 Skokie Blvd Ste 212
Northbrook, IL 60062-4031

Phone

(847) 272-5882

Fax

(847) 808-6134

NPI assigned

Apr 7, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1649289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1962144345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6478 N OLYMPIA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606311519",
            "telephone_number": "872-333-0384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 SKOKIE BLVD STE 212",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624031",
            "telephone_number": "847-272-5882",
            "fax_number": "847-808-6134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTH",
        "first_name": "CASSIDY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-07",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "IL",
            "license": "041511922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barry M Gershuny MD
• Bailey Barry
• Katherine Rose Kennedy Barry, MA
• Bonnie L Barsky, M.D.
• Jamie Barta
• John Bartok, PH.D.
• Denise Amelia Bartolo Smith, LPC
• Stephanie Barton, RBT-21-159870
• Sara Bartus, LCSW
• Brian Ethan Baruck, LPC

• General Practice Registered Nurse in Northbrook, IL
• Providers in Northbrook, IL by specialty
• General Practice Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.