Provider Demographics
NPI:1225669997
Name:MASON, CASSI D (MIDWIFE)
Entity Type:Individual
Prefix:
First Name:CASSI
Middle Name:D
Last Name:MASON
Suffix:
Gender:F
Credentials:MIDWIFE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:408 MADISON 1435
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72740-8105
Mailing Address - Country:US
Mailing Address - Phone:479-325-8861
Mailing Address - Fax:
Practice Address - Street 1:318 COPPERT ST
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AR
Practice Address - Zip Code:72740-8105
Practice Address - Country:US
Practice Address - Phone:479-325-8861
Practice Address - Fax:470-308-0198
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-30
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula