Provider Demographics
NPI:1821386186
Name:PEART, CASSIE BRASSETTE (NP-C)
Entity Type:Individual
Prefix:
First Name:CASSIE
Middle Name:BRASSETTE
Last Name:PEART
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 W SAINT AVIDE ST
Mailing Address - Street 2:
Mailing Address - City:CHALMETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70043-3146
Mailing Address - Country:US
Mailing Address - Phone:504-390-3918
Mailing Address - Fax:504-277-2659
Practice Address - Street 1:4200 HOUMA BLVD STE 330
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006-2970
Practice Address - Country:US
Practice Address - Phone:504-455-0600
Practice Address - Fax:504-454-5017
Is Sole Proprietor?:No
Enumeration Date:2011-07-20
Last Update Date:2023-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN105055-AP06495363LF0000X
LAAP06495363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily