KASSANDRA MICHELLE MACK LPN
NPI 1134483498
Licensed Practical Nurse in Cheektowaga, NY

Active since July 01, 2012
11 WINDWOOD CTS, CHEEKTOWAGA, NY 14225(716) 986-1006 Get Directions Write a Review

NPPES record last updated: July 1, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kassandra Michelle Mack Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KASSANDRA MICHELLE MACK LPN (NPI 1134483498) is an individual licensed practical nurse in Cheektowaga, New York, licensed in New York (303962) and active in the NPI registry since July 2012.

NPPES Registry Identity

NPI1134483498
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameKASSANDRA MICHELLE MACKCredential: LPN
Location Address11 WINDWOOD CTSCheektowaga, NY 14225-2573
Mailing Address11 Windwood CtsCheektowaga, NY 14225-2573 · (716) 986-1006
Sole ProprietorYes
Enumeration DateJuly 1, 2012
NPI 1134483498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in NY · 303962
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
11 WINDWOOD CTS, Cheektowaga, NY 14225

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kassandra Mack's NPI number?

The NPI number for Kassandra Mack is 1134483498. It was assigned to this individual provider in the NPPES registry on July 1, 2012.

Where is Kassandra Mack located?

Kassandra Mack practices at 11 Windwood Cts, Cheektowaga, NY 14225. The listed phone number is (716) 986-1006.

What is Kassandra Mack's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Kassandra Mack was last updated on July 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.