CASSANDRA ARCHER (NPI# 1881145746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881145746 |
| Entity Type | Individual |
| Full Name | CASSANDRA ARCHER |
| Credential | AGACNP-BC |
| Practice Address |
811 Ainsworth Dr Suite 109 Prescott AZ 86301-1687 |
| Mailing Address |
1003 Willow Creek Rd Prescott AZ 86301-1641 |
| Practice Telephone | 9287715595 |
| Mailing Telephone | 9287715595 |
| Enumeration Date | 2016-10-16 |
| Last Update Date | 2016-10-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
TAP9559 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
TAP9559 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
TAP9559 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871586446 | Cassandra A Archer | Internal Medicine | 161 Genesee St, Suite 203, Auburn, NY 13021-2662 | 2005-08-29 |
| Street Address |
811 AINSWORTH DR SUITE 109 |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86301-1687 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780672329 | Martin Joseph Leidinger | Internal Medicine | 811 Ainsworth Dr, Prescott, AZ 86301-1687 | 2005-10-07 |
| 1619169950 | Phoenix Cardiac Surgery | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 811 Ainsworth Dr, Suite 109, Prescott, AZ 86301-1687 | 2007-08-10 |
| 1437368404 | Jose E Torres | Surgery | 811 Ainsworth Dr, Suite 109, Prescott, AZ 86301-1687 | 2007-05-22 |
| 1699859769 | Paul T. Nguyen | Specialist | 811 Ainsworth Dr, Suite 101, Prescott, AZ 86301-1687 | 2006-10-25 |
| 1114933694 | Thomas William Rusing | Surgery | 811 Ainsworth Dr, Suite 103, Prescott, AZ 86301-1687 | 2006-08-01 |
| 1134159650 | Ronald F Whitney | Specialist | 811 Ainsworth Dr, Suite 101, Prescott, AZ 86301-1687 | 2006-07-03 |
| 1811926660 | Pierre R Tibi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 811 Ainsworth Dr, Suite 109, Prescott, AZ 86301-1687 | 2006-07-02 |
| 1952339723 | Jeffrey M Sanwick | Specialist | 811 Ainsworth Dr, Suite 101, Prescott, AZ 86301-1687 | 2006-06-29 |
| 1801823372 | Brian S Allshouse | Physician Assistant | 811 Ainsworth Dr, Suite 109, Prescott, AZ 86301-1687 | 2006-06-28 |
| 1790711091 | Prescott Urocenter Ltd | Clinic/Center | 811 Ainsworth Dr, Suite 101, Prescott, AZ 86301-1687 | 2006-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102350 | Dove Marie Gundermann | Specialist/Technologist | 300 W. Gurley St, Prescott, AZ 86301 | 2020-07-30 |
| 1639712110 | Arizona Orthopedic Physical Therapy, Pllc | Clinic/Center | 1781 E State Highway 69, Suite 28, Prescott, AZ 86301 | 2019-10-28 |
| 1538714092 | Prescott Complete Care | Family Medicine | 1947 Commerce Center Circle, Suite A, Prescott, AZ 86301 | 2019-08-01 |
| 1336612571 | Sarah Elizabeth Elliott | Registered Nurse | 500 Az 89, Prescott, AZ 86301 | 2019-01-10 |
| 1912484270 | Asya Ruth Perkins | Counselor | 225 Grove Avenue, Prescott, AZ 86301 | 2018-07-19 |
| 1396241394 | Jerome Alexander Longoria | Chiropractor | 142 N. Rush St, Prescott, AZ 86301 | 2018-03-30 |
| 1619487675 | Yavapai Healthcare Group LLC | Nurse Practitioner | 999 Division Street, Prescott, AZ 86301 | 2017-10-04 |
| 1053835843 | United States Veterans Initiative | Counselor | 917 E Gurley St, Prescott, AZ 86301 | 2017-08-02 |
| 1164896999 | Spitler - Lilley, LLC | Hearing Instrument Specialist | 1781 E. State Rte 69, Suite 65, Prescott, AZ 86301 | 2015-11-17 |
| 1275925265 | Oral and Facial Surgery Center of Prescott | Dentist | 5415 Distiction Way, Prescott, AZ 86301 | 2015-02-27 |
| Find all providers in zip 86301 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750909008 | Shawn Jeffery Mitchell | Nurse Practitioner | 1003 Willow Creek Rd, Prescott, AZ 86301-1641 | 2020-07-13 |
| 1669019683 | Justin Earl Rogers | Nurse Practitioner | 1003 Willow Creek Rd, Prescott, AZ 86301-1641 | 2019-12-09 |
| 1477116911 | Anna Mattson | Nurse Practitioner | 1003 Willow Creek Rd, Prescott, AZ 86301-1641 | 2019-04-19 |
| 1790276608 | Phillip Allen Schafer | Nurse Practitioner | 1003 Willow Creek Rd, Prescott, AZ 86301 | 2018-05-25 |
| 1952753675 | Candice Panton | Nurse Practitioner | 1003 Willow Creek Rd, Prescott, AZ 86301-1641 | 2016-07-06 |
| 1457701468 | Tetyana Missey | Nurse Practitioner | 1003 Willow Creek Rd, Prescott, AZ 86301 | 2016-06-21 |
| 1467855031 | Jared Head | Nurse Practitioner | 1003 Willow Creek Rd, Prescott, AZ 86301-1641 | 2014-09-26 |
| 1750720868 | Elizabeth Herta Dwyer | Nurse Practitioner | 1003 Willow Creek Rd, Prescott, AZ 86301-1641 | 2013-06-21 |
| 1508062449 | Jill Marie Zogob | Nurse Practitioner | 726 Gail Gardner Way, Suite B, Prescott, AZ 86305-2314 | 2007-06-26 |
| 1649297532 | Carolyn R Kolb | Nurse Practitioner | 802 Ainsworth Dr Ste A, Prescott, AZ 86301-1623 | 2006-07-16 |
| Find all providers in PRESCOTT | ||||
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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.