Provider Demographics
NPI:1861375438
Name:COBB, CASSANDRA RAE (CNA/STNA)
Entity type:Individual
Prefix:MS
First Name:CASSANDRA
Middle Name:RAE
Last Name:COBB
Suffix:
Gender:F
Credentials:CNA/STNA
Other - Prefix:MS
Other - First Name:CASSSANDRA
Other - Middle Name:R
Other - Last Name:COBB
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CNA/STNA
Mailing Address - Street 1:3415 WESTPOINT DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43232-4869
Mailing Address - Country:US
Mailing Address - Phone:614-368-3049
Mailing Address - Fax:
Practice Address - Street 1:3415 WESTPOINT DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43232-4869
Practice Address - Country:US
Practice Address - Phone:614-368-3049
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-30
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH603059500725376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376K00000XNursing Service Related ProvidersNurse's AideGroup - Single Specialty