MISS CASSANDRA PROVILUS LPN
NPI 1780098392
Licensed Practical Nurse in Brooklyn, NY

Q: What is Cassandra Provilus's NPI number?

The NPI number for Cassandra Provilus is 1780098392. It was assigned to this individual provider in the NPPES registry on June 12, 2014.

Q: What is Cassandra Provilus's specialty?

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

Active since June 12, 2014

450 E 26TH ST, PH, BROOKLYN, NY 11226(347) 469-5018 Get Directions Write a Review

NPPES record last updated: June 12, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Miss Cassandra Provilus Lpn NPPES

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

MISS CASSANDRA PROVILUS LPN (NPI 1780098392) is an individual licensed practical nurse in Brooklyn, New York, licensed in New York (309088-1) and active in the NPI registry since June 2014.

NPPES Registry Identity

NPI1780098392

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameMISS CASSANDRA PROVILUSCredential: LPN

Location Address450 E 26TH ST, PHBrooklyn, NY 11226-7711

Mailing Address450 E 26th St, PhBrooklyn, NY 11226-7711 · (347) 469-5018

Phone(347) 469-5018

Sole ProprietorYes

Enumeration DateJune 12, 2014

✔ NPI 1780098392 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 · 309088-1

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.

450 E 26TH ST, Brooklyn, NY 11226

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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 Cassandra Provilus's NPI number?

The NPI number for Cassandra Provilus is 1780098392. It was assigned to this individual provider in the NPPES registry on June 12, 2014.

Where is Cassandra Provilus located?

Cassandra Provilus practices at 450 E 26th St Ph, Brooklyn, NY 11226. The listed phone number is (347) 469-5018.

What is Cassandra Provilus'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 Cassandra Provilus was last updated on June 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.