Casandra East Wiley, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN120316 Issued in LA

Practice address

23363 S Robin Rd
Mandeville, LA 70448-7381

Phone

(985) 624-4100

Fax

(985) 624-4123

NPI assigned

Feb 27, 2024

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

Practice roles

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

• Florida Parishes Human Services Authority / Fontainebleau TX Center

  • Substance Abuse Rehabilitation Facility
  • Mandeville, LA
  • NPI 1306800271
  NPD (past)
• Fphsa

  • Substance Abuse Rehabilitation Facility
  • Mandeville, LA
  • NPI 1104376342
  NPD (past)

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

{
    "created_epoch": "1708992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1992561997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704700037",
            "telephone_number": "985-624-4100",
            "fax_number": "985-624-4123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23363 S ROBIN RD",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704487381",
            "telephone_number": "985-624-4100",
            "fax_number": "985-624-4123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILEY",
        "first_name": "CASANDRA",
        "middle_name": "EAST",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-27",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "RN120316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Holly White
• Ashley Nicole Whitney
• Oliver Wendell Whitney, OD
• Debbie Wild
• Diana Wild
• John Wilkins Jr.
• William R. Ledoux D.D.S. a.P.D.C.
• Abigail Williams
• Anita Roshelle Williams
• Delacia Williams, PMHNP

• Registered Nurse in Mandeville, LA
• Providers in Mandeville, LA by specialty
• Registered Nurse in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.