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

Cassandra Theodoris, NP

Individual provider Nurse Practitioner · NPI 1316411481

Cassandra Theodoris, NP is a Nurse Practitioner in Brockton, Massachusetts. Qualified in 2018, 8 years ago. Practices with Lahey Clinic Inc, a 1,372-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
8
Licensed in
MA
In the registry since
2019
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

110 Liberty St
Brockton, MA 02301-5521
Phone: (508) 894-0400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 680 Centre St, Brockton, MA 02302-3308 — (508) 941-7000

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence RN2312573 (MA)
Nurse Practitioner Taxonomy 363L00000X · Licence RN2312573 (MA)

Record details

NPI number1316411481
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedJanuary 11, 2019
Last updated in NPPESJune 2, 2022
Certification dateJune 2, 2022
Mailing address1440 Eastern Ave, Malden, MA 02148-6112

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Lahey Clinic Inc — 1372 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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