CASSONDRA WALKER (NPI# 1417570235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417570235 |
| Entity Type | Individual |
| Full Name | CASSONDRA WALKER |
| Practice Address |
110 S Main St Boiling Springs NC 28017-9797 |
| Mailing Address |
331 Amherst Dr Spartanburg SC 29306-4262 |
| Practice Telephone | 7044064000 |
| Enumeration Date | 2020-05-27 |
| Last Update Date | 2020-05-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
110 S MAIN ST |
| City | BOILING SPRINGS |
| State | NC |
| Zip Code | 28017-9797 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164032355 | Kristopher Ryan Kohout | Physician Assistant | 110 S Main St, Boiling Springs, NC 28017-9797 | 2020-08-03 |
| 1366051450 | Raquel Coias Rubin | Physician Assistant | 110 S Main St, Boiling Springs, NC 28017-9797 | 2020-07-24 |
| 1396353835 | Rachel Elizabeth Howard | Student in an Organized Health Care Education/Training Program | 110 S Main St, Boiling Springs, NC 28017-9797 | 2020-07-21 |
| 1801404066 | Michelle Evans Beaman | Family Medicine | 110 S Main St, Boiling Springs, NC 28017-9797 | 2020-07-14 |
| 1740808906 | Mary Ford | Student in an Organized Health Care Education/Training Program | 110 S Main St, Boiling Springs, NC 28017-9797 | 2020-07-13 |
| 1790302123 | Steven M Popper | Physician Assistant | 110 S Main St, Boiling Springs, NC 28017-9797 | 2020-07-01 |
| 1104449024 | Nathan Nevil Howard | Student in an Organized Health Care Education/Training Program | 110 S Main St, Boiling Springs, NC 28017-9797 | 2020-05-27 |
| 1154977916 | Kelli S Daughtry | Student in an Organized Health Care Education/Training Program | 110 S Main St, Boiling Springs, NC 28017-9797 | 2019-08-16 |
| 1225684244 | Krishan Raj Kumar | Student in an Organized Health Care Education/Training Program | 110 S Main St, Boiling Springs, NC 28017-9797 | 2019-08-15 |
| 1538715578 | Micaela Antzoulatos | Student in an Organized Health Care Education/Training Program | 110 S Main St, Boiling Springs, NC 28017-9797 | 2019-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467076794 | Jessica R Littleton | Physician Assistant | Gardner Webb University College of Health Sciences, 315 W College Ave, Boiling Springs, NC 28017 | 2020-06-02 |
| 1851947691 | Jennifer Kaitlyn Halama | Physician Assistant | 315 W College Avenue, Boiling Springs, NC 28017 | 2019-08-16 |
| 1730436932 | Tina Hawkins Wesson | Pharmacist | 105 E. College Ave, Boiling Springs, NC 28017 | 2012-08-07 |
| 1356617880 | Tonya Lynn Gantt | Pharmacist | 105 East College Avenue, Boiling Springs, NC 28017 | 2012-03-29 |
| 1558697730 | Crawley Memorial Hospital | Pharmacy | 315 West College Ave., Boiling Springs, NC 28017 | 2009-10-23 |
| 1881798072 | Crawley Memorial Hospital Inc | General Acute Care Hospital | 315 W College Ave, Boiling Springs, NC 28017 | 2006-09-11 |
| 1649897257 | Emily Elizabeth Sandlin | Physician Assistant | 315 West College Ave, Boiling Springs, NC 28017 | 2020-06-30 |
| 1144876186 | Morgan Durand | Physician Assistant | 315 W College Ave, Boiling Spring, NC 28017 | 2019-08-15 |
| 1316593668 | Nicholas Sottile | Physician Assistant | 315 W College Ave, Boiling Springs, NC 28017 | 2019-08-13 |
| 1316502677 | Erica Crockett | Physician Assistant | 315 W College Ave, Boiling Springs, NC 28017 | 2019-05-02 |
| Find all providers in zip 28017 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760004063 | Rachel Hammett | Student in an Organized Health Care Education/Training Program | 213 Boydton Rd, Boiling Springs, SC 29316-5401 | 2020-05-11 |
| 1396353835 | Rachel Elizabeth Howard | Student in an Organized Health Care Education/Training Program | 110 S Main St, Boiling Springs, NC 28017-9797 | 2020-07-21 |
| 1740808906 | Mary Ford | Student in an Organized Health Care Education/Training Program | 110 S Main St, Boiling Springs, NC 28017-9797 | 2020-07-13 |
| 1104449024 | Nathan Nevil Howard | Student in an Organized Health Care Education/Training Program | 110 S Main St, Boiling Springs, NC 28017-9797 | 2020-05-27 |
| 1154977916 | Kelli S Daughtry | Student in an Organized Health Care Education/Training Program | 110 S Main St, Boiling Springs, NC 28017-9797 | 2019-08-16 |
| 1225684244 | Krishan Raj Kumar | Student in an Organized Health Care Education/Training Program | 110 S Main St, Boiling Springs, NC 28017-9797 | 2019-08-15 |
| 1538715578 | Micaela Antzoulatos | Student in an Organized Health Care Education/Training Program | 110 S Main St, Boiling Springs, NC 28017-9797 | 2019-08-15 |
| 1861048787 | Tasia Fortune | Student in an Organized Health Care Education/Training Program | 110 S Main St, Boiling Springs, NC 28017-9797 | 2019-08-15 |
| 1649826942 | Aaron Thomas | Student in an Organized Health Care Education/Training Program | 110 S Main St, Boiling Springs, NC 28017-9797 | 2019-08-13 |
| 1942856232 | Hunter S Glasgow | Student in an Organized Health Care Education/Training Program | 110 S Main St, Boiling Springs, NC 28017-9797 | 2019-08-13 |
| Find all providers in BOILING SPRINGS | ||||
| City | BOILING SPRINGS |
| Zip Code | 28017 |
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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.