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Cassandra Brock

Physician β€’ Laramie, WY

Deactivated NPI 1669911657 Deactivated in NPPES Female Practitioner
Practice location in NPPES

320 Corthell Rd
Laramie, WY 820704830

Phone: 3074608398

Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of September 27, 2023; the reason is not published. The records below are historical. They do not show whether Cassandra Brock currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date February 23, 2017
NPI Deactivation Date September 27, 2023
NPI Active Period 2017 – 2023

Practice Location & Contact Primary Location

Practice Address

320 Corthell Rd

Laramie, WY 820704830

Telephone 3074608398

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Laramie and Wyoming

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Community/Behavioral Health Primary Specialty

NUCC Taxonomy Code: 251S00000X

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Wyoming State Medical Licensing Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
⚠️
NPI Profile Deactivated September 27, 2023

NPPES lists this NPI as deactivated as of September 27, 2023; the reason is not published.

βœ…
NPI Profile Active February 23, 2017

NPI status registered as active in NPPES database

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Practice Location (Initial Record) February 23, 2017

Registered at 320 CORTHELL RD, LARAMIE, WY 820704830 (Tel: 3074608398)

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Business Mailing Address (Initial Record) February 23, 2017

Registered at 320 CORTHELL RD, LARAMIE, WY 820704830 (Tel: 3074608398)

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Provider Name / Credentials (Initial Record) February 23, 2017

Recorded as CASSANDRA BROCK

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 23, 2017

Community/Behavioral Health

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Initial NPI Registration & Enumeration February 23, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1669911657
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 23, 2017
Last Update: February 23, 2017
Deactivation Date: September 27, 2023

Mailing Address

320 Corthell Rd

Laramie, WY 820704830

Phone: 3074608398

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.