Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Casandra Harmon

Individual provider Registered Nurse · NPI 1629829247

Casandra Harmon is a Nurse Practitioner in Phoenix, Arizona. Qualified in 2025, 1 year ago. Licensed in Arizona, Minnesota and North Carolina.

Years since qualifying
1
Licensed in
AZ, MN, NC
In the registry since
2024
Specialties on file
3
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Practice location Address checks out

1919 E Thomas Rd
Phoenix, AZ 85016-7710
Phone: (602) 933-3366
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 337578 (AZ)
Registered Nurse Taxonomy 163W00000X · Licence 2485593 (MN)
Pediatric Registered Nurse Taxonomy 163WP0200X · Licence 332198 (NC)

Record details

NPI number1629829247
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 1, 2024
Last updated in NPPESJuly 30, 2026
Certification dateJuly 30, 2026
Mailing address1919 E Thomas Rd, Phoenix, AZ 85016-7710

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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