CASSIE BRIGGS


Address: 1800 E Lake Shore Dr, Decatur, IL 62521-3883
Phone: 2174642966

CASSIE BRIGGS (NPI# 1194362392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194362392
Entity Type Individual
Full Name CASSIE BRIGGS
Other Name CASSIE NICOLE BRIGGS
Credential NP
Practice Address 1800 E Lake Shore Dr
Decatur
IL 62521-3883
Mailing Address 1800 E Lake Shore Dr
Decatur
IL 62521-3810
Practice Telephone 2174642966
Enumeration Date 2019-12-06
Last Update Date 2019-12-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
209020420 IL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
IL STATE BOARD OF NURSING 209020420 01

Office Location

Street Address 1800 E LAKE SHORE DR
City DECATUR
State IL
Zip Code 62521-3883

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326041229 St Marys Hospital Sisters of The Third Order of St Francis General Acute Care Hospital 1800 E Lake Shore Dr, Decatur, IL 62521 2005-05-24
1093349912 Nicholas Halford Nurse Anesthetist, Certified Registered 1800 E Lake Shore Dr, Decatur, IL 62521-3810 2020-02-29
1295368207 Amanda Durbin Nurse Anesthetist, Certified Registered 1800 E Lake Shore Dr, Decatur, IL 62521-3810 2020-02-18
1093351413 Megan Leech Advanced Practice Midwife 1800 E Lake Shore Dr, Decatur, IL 62521-3810 2019-11-20
1992355812 Gideon Nkrumah Nurse Anesthetist, Certified Registered 1800 E Lake Shore Dr, Decatur, IL 62521-3883 2019-09-12
1407417181 Komal J Patel Dietitian, Registered 1800 E Lake Shore Dr, Decatur, IL 62521-3810 2019-06-24
1760940712 Emily Ann Foster Internal Medicine 1800 E Lake Shore Dr, Decatur, IL 62521-3810 2019-03-08
1477010874 Jennifer Diann Pieper Nurse Anesthetist, Certified Registered 1800 E Lake Shore Dr, Decatur, IL 62521-3810 2019-02-22
1760955298 Hailey Michelle Williams Dietitian, Registered 1800 E Lake Shore Dr, Decatur, IL 62521-3810 2019-01-08
1912479247 Jamie Marie Queary Nurse Practitioner 1800 E Lake Shore Dr, Decatur, IL 62521-3810 2018-12-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053927988 Caleb David Braasch Pharmacist 1818 South Airport Rd, Decatur, IL 62521 2020-09-16
1295390490 Crossing Recovery Center Substance Abuse Rehabilitation Facility Crossing Recovery Center, 495 East Central Ave, Decatur, IL 62521 2019-05-03
1396300638 Crossing Recovery Center Substance Abuse Rehabilitation Facility 495 E Central Ave, Decatur, IL 62521 2019-05-02
1679138911 Crossing Recovery Center Substance Abuse Rehabilitation Facility 495 East Central Ave, Decatur, IL 62521 2019-05-02
1154848034 Zack Shaw Physical Therapist 4855-57 East 36, Decatur, IL 62521 2017-08-23
1790032852 Prashant Morolia Family Medicine 4775 E Maryland St, Decatur, IL 62521 2012-08-08
1003188913 Evergreen Place Decatur, LLC Assisted Living Facility 4825 E Evergreen Court, Decatur, IL 62521 2012-02-08
1104133099 Suzette Marie Shafer Occupational Therapy Assistant 1790 S. Fairview Ave., Decatur, IL 62521 2010-09-13
1467784090 Community Health Improvement Center Clinic/Center 1221 East Condit Street, Decatur, IL 62521 2010-02-08
1982839056 Kelly Clark Dds PC Dentist 3737 Us Rt 36 E, Decatur, IL 62521 2009-05-19
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083271753 Lavern N Palmer Nurse Practitioner 5386 Snapfinger Woods Dr, Decatur, GA 30035-4027 2019-05-28
1356845622 Roma Desai Nurse Practitioner 2665 N Decatur Rd Ste 230, Decatur, GA 30033-6136 2018-03-21
1841628583 Melinda Chavis Nurse Practitioner 221 Mckoy St, Decatur, GA 30030-4347 2013-10-16
1326195702 Susan Alexander Nurse Practitioner 4421 W Pleasant Acres Dr, Decatur, AL 35603-5729 2007-01-05
1427033273 Audrey L Hinds Nurse Practitioner Atlanta Va Medical Center, 1670 Clairmont Road, Decatur, GA 30033 2005-12-14
1891317889 Mariama Diallo Nurse Practitioner 3424 Flat Shoals Rd, Decatur, GA 30034-6525 2020-05-12
1124586029 Stephanie Amanda Carroll Nurse Practitioner 1670 Clairmont Rd, Decatur, GA 30033-4004 2019-03-09
1740750355 Andrea Caleb Nurse Practitioner 4425 Memorial Dr, Decatur, GA 30032-1337 2018-11-27
1245728849 Sade Simmons Nurse Practitioner 1670 Clairmont Rd, Decatur, GA 30033-4004 2018-04-29
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Competitor

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City DECATUR
Zip Code 62521

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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