CASSIDY CLARK WEBSTER MD
NPI 1992371207
Student in an Organized Health Care Education/Training Program in Sioux Falls, SD

Q: What is Cassidy Webster's NPI number?

The NPI number for Cassidy Webster is 1992371207. It was assigned to this individual provider in the NPPES registry on May 28, 2021. The provider is also known as Cassidy Jordan Clark.

Q: What is Cassidy Webster's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Cassidy Webster was last updated on May 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since May 28, 2021PECOS Enrolled

1400 W 22ND ST, SIOUX FALLS, SD 57105(605) 357-1391 Get Directions Write a Review

NPPES record last updated: May 28, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Cassidy Clark Webster Md NPPES

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

CASSIDY CLARK WEBSTER MD (NPI 1992371207) is an individual student in an organized health care education/training program in Sioux Falls, South Dakota and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992371207

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameCASSIDY CLARK WEBSTERCredential: MD

Location Address1400 W 22ND STSioux Falls, SD 57105-1554

Mailing AddressPo Box 249Harrisburg, SD 57032-0249 · (865) 228-2995

Phone(605) 357-1391

Sole ProprietorNo

Enumeration DateMay 28, 2021

NPPES CertifiedMay 28, 2021

✔ NPI 1992371207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1400 W 22ND ST, Sioux Falls, SD 57105

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Other Names 1

Former Name (1)Cassidy Jordan Clark

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cassidy Clark Webster Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARIA SEBALIA KOENEN MD

Student in an Organized Health Care Education/Training Program