Provider Demographics
NPI:1003694282
Name:LAWHON, CASSANDRA (RN)
Entity Type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:
Last Name:LAWHON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:CASSIE
Other - Middle Name:
Other - Last Name:LAWHON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:16855 SMITH RD
Mailing Address - Street 2:
Mailing Address - City:SMITHVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:64089-8671
Mailing Address - Country:US
Mailing Address - Phone:816-916-0810
Mailing Address - Fax:
Practice Address - Street 1:16855 SMITH RD
Practice Address - Street 2:
Practice Address - City:SMITHVILLE
Practice Address - State:MO
Practice Address - Zip Code:64089-8671
Practice Address - Country:US
Practice Address - Phone:816-916-0810
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-19
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2011000722163WC0400X, 163WC1500X, 163WH1000X, 163WP0200X, 163WS0200X, 171400000X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WC0400XNursing Service ProvidersRegistered NurseCase Management
No163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
No163WH1000XNursing Service ProvidersRegistered NurseHospice
No163WP0200XNursing Service ProvidersRegistered NursePediatrics
No163WS0200XNursing Service ProvidersRegistered NurseSchool
No171400000XOther Service ProvidersHealth & Wellness Coach