CASSANDRA CRACKEL (NPI# 1538439799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538439799 |
| Entity Type | Individual |
| Full Name | CASSANDRA CRACKEL |
| Credential | PA |
| Practice Address |
2007 95th Street Ste 112 Naperville IL 60564-8561 |
| Practice Telephone | 6305277780 |
| Practice Fax Number | 6305277777 |
| Mailing Telephone | 6305277780 |
| Mailing Fax Number | 6305277777 |
| Enumeration Date | 2012-01-05 |
| Last Update Date | 2012-01-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 085004251 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2007 95TH STREET STE 112 |
| City | NAPERVILLE |
| State | IL |
| Zip Code | 60564-8561 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144270976 | Douglas Tran | Internal Medicine | 2007 95th Street, Suite 112, Naperville, IL 60564-8561 | 2006-05-11 |
| 1528079803 | Lara M. Ellison | Family Medicine | 2007 95th Street, Suite 105, Naperville, IL 60563-7802 | 2006-08-11 |
| 1518918945 | Children's Health Partners | Pediatrics | 2007 95th Street, Ll Suite A, Naperville, IL 60564 | 2006-05-12 |
| 1598715435 | Edward Health Ventures | Clinic/Center | 2007 95th Street, Suite 112, Naperville, IL 60564 | 2006-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215598842 | Jennifer A Mcgill | Speech-Language Pathologist | Sovereign Pediatric Therapy, 1315 Macom Dr #103, Naperville, IL 60564 | 2019-06-25 |
| 1083187660 | Erin Michelle Hankins | Counselor | 2132 Deep Water Lane, Suite # 240, Naperville, IL 60564 | 2019-01-07 |
| 1851873905 | Helen A Bruckner | Student in an Organized Health Care Education/Training Program | 28w154 Country View Dr., Naperville, IL 60564 | 2018-09-05 |
| 1912483074 | Kristina Kochanova | Psychologist | 3380 Lacrosse Lane, Suites 106-107, Naperville, IL 60564 | 2018-07-12 |
| 1831608397 | Courtney Srum | Speech-Language Pathologist | Graham Elementary School 2315 High Meadow Rd., Naperville, IL 60564 | 2017-09-27 |
| 1447707880 | Isabel Betancourt | Registered Nurse | 1315 Macom Dr Ste 5, Naperville, IL 60564 | 2016-09-01 |
| 1134577802 | Rosa Maria Felix-jones | Massage Therapist | 3420 Lacrosse, Suite 100, Unit 2 & 3, Naperville, IL 60564 | 2016-06-02 |
| 1245618412 | Ian E Evans | Counselor | 2948 Artesian Rd., Suite 112, Naperville, IL 60564 | 2015-05-08 |
| 1093114498 | Sovereign Rehab | Clinic/Center | 1315 Macom Dr. Suite 103, Naperville, IL 60564 | 2014-08-21 |
| 1154745891 | Antonina Rosaria Sullivan | Occupational Therapist | 10350 Brenner Ct, Naperville, IL 60564 | 2014-02-18 |
| Find all providers in zip 60564 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316557770 | Brian Sautter | Physician Assistant | 1125 Wishing Well Ln, Naperville, IL 60564-8782 | 2020-07-31 |
| 1962026955 | Bridgette Lynn Caquatto | Physician Assistant | 1847 Cranshire Ln, Naperville, IL 60565-6749 | 2020-06-04 |
| 1588288286 | Megan O'hara | Physician Assistant | 416 E Chicago Ave, Naperville, IL 60540-5408 | 2020-05-29 |
| 1629619275 | Meghann Reid Vizintos | Physician Assistant | 1763 Freedom Dr Ste 117, Naperville, IL 60563 | 2019-10-04 |
| 1649831371 | Margaret Grace Rancich | Physician Assistant | 6s651 Millcreek Ln, Naperville, IL 60540-5919 | 2019-06-24 |
| 1467010884 | Madeline Simon | Physician Assistant | 1720 Frost Ln, Naperville, IL 60564-5165 | 2019-05-31 |
| 1417413543 | Vikram Singh Cheema | Physician Assistant | 1335 North Mill Street, Naperville, IL 60563 | 2019-02-13 |
| 1699259036 | Meraj Baig | Physician Assistant | 1952 Mcdowell Rd #305, Naperville, IL 60563 | 2018-09-21 |
| 1144718644 | Naperville Health Center, LLC | Physician Assistant | 3416 S Route 59 Ste 108, Naperville, IL 60564-8147 | 2018-04-30 |
| 1063919348 | Aiman Khan | Physician Assistant | 636 Raymond Dr Ste 107, Naperville, IL 60563-9789 | 2018-04-12 |
| Find all providers in NAPERVILLE | ||||
| City | NAPERVILLE |
| Zip Code | 60564 |
Please comment or provide details below to improve the information on CASSANDRA CRACKEL.
| 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.