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NPI Code Detail

MEDICARE: CASSANDRA LYNN REDFERN MS, RDN, LDN, CPT

MEDICARE: CASSANDRA LYNN REDFERN MS, RDN, LDN, CPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered DietitianDIET.DI.70095908WA
2133V00000XRegistered DietitianDT91585TX
3133V00000XRegistered DietitianDX8184MD
4133V00000XRegistered DietitianLD008507GA
5133V00000XRegistered Dietitian1545NH

General Provider Information

NPI Number : 1720869522
Entity Type Code : Individual
Provider Name (Legal Business Name) : CASSANDRA LYNN REDFERN MS, RDN, LDN, CPT
Provider Business Mailing Address
First Line : 648 KEARSARGE WAY
Second Line :
City : PORTSMOUTH
State : NH
Zip : 03801-3428
Country : US
Telephone Number : 603-540-7823
Fax Number :
Provider Business Practice Location Address
First Line : 5 ALUMNI DR
Second Line :
City : EXETER
State : NH
Zip : 03833-2160
Country : US
Telephone Number : 603-580-6144
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/09/2023
Last Update Date : 03/04/2026

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