Provider Demographics
NPI:1871468561
Name:REED, CASSIE JOELANE
Entity type:Individual
Prefix:MS
First Name:CASSIE
Middle Name:JOELANE
Last Name:REED
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1550 N DUTTON AVE
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95401-4601
Mailing Address - Country:US
Mailing Address - Phone:707-477-5788
Mailing Address - Fax:707-236-6695
Practice Address - Street 1:1550 N DUTTON AVE
Practice Address - Street 2:
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95401-4601
Practice Address - Country:US
Practice Address - Phone:707-477-5788
Practice Address - Fax:707-236-6695
Is Sole Proprietor?:No
Enumeration Date:2025-10-10
Last Update Date:2025-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist