Healthcare Provider Details

I. General information

NPI: 1336631894
Provider Name (Legal Business Name): CASSY ANN PIELA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/31/2018
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

937 FRANKLIN BLVD
LEMOORE CA
93246-4700
US

IV. Provider business mailing address

937 FRANKLIN BLVD
LEMOORE CA
93246-4700
US

V. Phone/Fax

Practice location:
  • Phone: 361-640-4407
  • Fax:
Mailing address:
  • Phone: 301-295-1428
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number247379
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number95220930
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberAC005325
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: