Provider Demographics
NPI:1679361372
Name:RICE, KASSIE RENEE
Entity type:Individual
Prefix:
First Name:KASSIE
Middle Name:RENEE
Last Name:RICE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4544 W PIONEER DR APT 417
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75061-3847
Mailing Address - Country:US
Mailing Address - Phone:469-933-8415
Mailing Address - Fax:
Practice Address - Street 1:4544 W PIONEER DR APT 417
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75061-3847
Practice Address - Country:US
Practice Address - Phone:469-933-8415
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-30
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion
No372500000XNursing Service Related ProvidersChore Provider
No376J00000XNursing Service Related ProvidersHomemaker