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1760315030 NPI number — CASSANDRA KAY PAPPAS

NPI Number: 1760315030
Health Care Provider/Practitioner: CASSANDRA KAY PAPPAS

Information about “1760315030” NPI (CASSANDRA KAY PAPPAS) exists in 1760315030 in HTML format HTML  |  1760315030 in plain Text format TXT  |  1760315030 in PDF (Portable Document Format) PDF  |  1760315030 in an XML format XML  formats.

NPI Number : 1760315030 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1760315030",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PAPPAS",
    "FirstName": "CASSANDRA",
    "MiddleName": "KAY",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "OLSON",
    "OtherFirstName": "CASSANDRA",
    "OtherMiddleName": "KAY",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "LADC, BSW",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "206 7TH AVE NW",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HAYFIELD",
    "MailingAddressStateName": "MN",
    "MailingAddressPostalCode": "55940-8897",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "507-259-1036",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "206 7TH AVE NW",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HAYFIELD",
    "PracticeLocationAddressStateName": "MN",
    "PracticeLocationAddressPostalCode": "55940-8897",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "507-259-1036",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/05/2026",
    "LastUpdateDate": "06/05/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101YA0400X",
        "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
        "LicenseNumber": "307436",
        "LicenseNumberStateCode": "MN",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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