CASSANDRA SHIELDS (NPI# 1689043127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689043127 |
| Entity Type | Individual |
| Full Name | CASSANDRA SHIELDS |
| Practice Address |
275 Carpenter Dr Suite 350 Atlanta GA 30328-4928 |
| Mailing Address |
110 Walter Way 1693 Stockbridge GA 30281-9533 |
| Practice Telephone | 4045493936 |
| Mailing Telephone | 4045874412 |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2016-06-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
CO084506 | GA | Other Service Providers |
| N | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
RC75004 | SC | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386952638 | Cassandra Lynn Shields | Pharmacist | 2024 S Ohio St, Salina, KS 67401-6708 | 2010-09-21 |
| 1366680159 | Cassandra Shields | Licensed Practical Nurse | 2250 Hickory Rd, Plymouth Meeting, PA 19462-1047 | 2009-02-02 |
| Street Address |
275 CARPENTER DR SUITE 350 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30328-4928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255642609 | Erinn Nicole Ponder | Podiatrist | 275 Carpenter Dr, # 106, Atlanta, GA 30328-4928 | 2010-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467910042 | Amber Andrews | Behavior Technician | 750 Hammond Drive Bldg 7 Suite 100, Atlanta, GA 30328 | 2019-03-04 |
| 1215492830 | Ryan William Dubinin | Behavior Technician | 750 Hammond Drive, Building 7, Suite 100, Atlanta, NJ 30328 | 2019-02-07 |
| 1346710142 | Emily Rose Lloyd Swavely | Speech-Language Pathologist | 5825 Glenridge Rd., Building 1, Suite 133, Atlanta, GA 30328 | 2018-12-05 |
| 1063994481 | Mark Edward Brachmanski | Optometrist | 800 Mount Vernon Highway Ne, Suite 130, Atlanta, GA 30328 | 2018-09-01 |
| 1407352578 | Nina Brown | Massage Therapist | 7100 Peachtree Dunwoody Rd Ste 110, Sandy Springs, GA 30328 | 2018-04-05 |
| 1336657741 | Renee Usher Reeves | Assistant Behavior Analyst | 750 Hammond Dr Building 7, Suite 100, Atlanta, GA 30328 | 2018-01-19 |
| 1487168274 | Patricia Nicole Felder | Student in an Organized Health Care Education/Training Program | 270 Carpenter Dr, Ne, Suite # 400, Atlanta, GA 30328 | 2017-12-01 |
| 1447762927 | Ponders Podiatry LLC | Podiatrist | 275 Carpenter Drive Ne, Suite 106, Atlanta, GA 30328 | 2017-10-24 |
| 1770093601 | Syed M Rasheed | Physician Assistant | 5788 Roswell Rd Ste 100, Atlanta, GA 30328 | 2017-10-05 |
| 1437678190 | Jeanette Denise Jones | Counselor | 270 Carpenter Drive, Suite 400, Sandy Springs, GA 30328 | 2017-09-13 |
| Find all providers in zip 30328 | ||||
| Taxonomy Code | 1744P3200X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Prosthetics Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184254591 | Jordan Cohen | Specialist | 1075 Peachtree Rd, Suite 300, Atlanta, GA 30308 | 2020-01-24 |
| 1750945044 | Ayesha Ameerah Afrah Baker | Specialist | 587 Whitehall St Sw, Atlanta, GA 30303-3721 | 2019-04-23 |
| 1780141978 | Christen Abbott | Specialist | 712 Gary Rd Nw, Atlanta, GA 30318-6216 | 2019-02-25 |
| 1699246942 | Tkhair247 LLC | Specialist | 1 Galleria Pkwy Se, Suite 1d2, Atlanta, GA 30339-3008 | 2018-12-16 |
| 1568939486 | Diverse Images Management Services LLC | Specialist | 3724 Martin Luther King Dr Sw, Atlanta, GA 30331-3600 | 2018-10-29 |
| 1801348602 | Nicole Degraffenreid Kemp | Specialist | 3480 Greenbriar Pkwy, Suite 117, Atlanta, GA 30331 | 2016-10-27 |
| 1730639774 | Shaniqua Garcia | Specialist | 825 Beecher St Sw, Atlanta, GA 30310-2717 | 2016-10-13 |
| 1336501717 | Drame Knowlin | Specialist | 2451 Cumberland Pkwy Se Ste 3809, Atlanta, GA 30339-6136 | 2016-03-24 |
| 1891156840 | Tikeisha Floyd | Specialist | 360 Pharr Rd Ne Ste 3025, Atlanta, GA 30305-2363 | 2016-03-17 |
| 1801257647 | Tina L Lawson | Specialist | 6221 Selborn Dr Sw, Atlanta, GA 30331-9401 | 2016-03-07 |
| Find all providers in ATLANTA | ||||
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| 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.