Provider Demographics
NPI:1891202339
Name:HODGES, CASSIE EMIKO (FNP-C)
Entity type:Individual
Prefix:
First Name:CASSIE
Middle Name:EMIKO
Last Name:HODGES
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:CASSIE
Other - Middle Name:E
Other - Last Name:YANO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5101 COLLEGE BLVD
Mailing Address - Street 2:
Mailing Address - City:LEAWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66211-1614
Mailing Address - Country:US
Mailing Address - Phone:816-478-4200
Mailing Address - Fax:
Practice Address - Street 1:706 N BURKARTH RD
Practice Address - Street 2:
Practice Address - City:WARRENSBURG
Practice Address - State:MO
Practice Address - Zip Code:64093-9303
Practice Address - Country:US
Practice Address - Phone:660-747-5444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-05
Last Update Date:2024-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS14113406102163W00000X
MO2010020612163W00000X
KS77738363LF0000X
MO2017013542363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse