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Cassandra Alexis Deforrest

Sports Medicine

2015 Highpointe Dr
Brandon , Mississippi 39042-3169

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Image

Cassandra Alexis Deforrest

Sports Medicine

2015 Highpointe Dr
Brandon , Mississippi 39042-3169

(601) 383-4817

Write a Review Save Call

Cassandra Alexis Deforrest

Sports Medicine

2015 Highpointe Dr
Brandon , Mississippi 39042-3169

(601) 383-4817 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Sports Medicine

Languages spoken

  • English

Location

2015 Highpointe Dr Brandon , Mississippi 39042-3169

First Address

  • Cassandra Alexis Deforrest
  • 861 Westerly Dr
  • Brandon, MS
  • Zip : 39042-9579
  • Phone : (601) 383-4817

Second Address

  • Cassandra Alexis Deforrest
  • 2015 Highpointe Dr
  • Brandon, MS
  • Zip : 39042-3169
  • Phone : (601) 724-7310

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FAQs


Where did Cassandra Alexis Deforrest attend graduate school?

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Where did Cassandra Alexis Deforrest do her residency?

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Where did Cassandra Alexis Deforrest do her fellowship?

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Is Cassandra Alexis Deforrest board certified?

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What type of doctor is Cassandra Alexis Deforrest

Sports Medicine

In what state does Cassandra Alexis Deforrest practice in?

Mississippi

Where is Cassandra Alexis Deforrest ’s practice located?

2015 Highpointe Dr , Brandon, Mississippi, 39042-3169

What is Cassandra Alexis Deforrest ’s gender?

Female

Is Cassandra Alexis Deforrest a sole practitioner?

No

Is Cassandra Alexis Deforrest accepting new patients?

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What languages does Cassandra Alexis Deforrest speak?

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Does Cassandra Alexis Deforrest accept insurance?

Yes, Cassandra Alexis Deforrest accepts insurance

Does Cassandra Alexis Deforrest offers telemedicine?

Cassandra Alexis Deforrest has not indicated if she offers telemedicine

What is Cassandra Alexis Deforrest ’s professional license number?

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What is Cassandra Alexis Deforrest ’s NPI number?

1285142935

Does Cassandra Alexis Deforrest have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 2081S0010X Sports Medicine AT0843 MS
Y 213ES0000X Sports Medicine AT0843 MS

National Provider Identifier

NPI 1285142935
Provider Name Cassandra Alexis Deforrest
First Address Brandon, MS 39042-9579
Second Address Brandon, MS 39042-3169
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 16/01/2018
Last Update Date 16/01/2018

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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