Active NPI
Kathleen Jo-Ann Kasper, CG61320420
- Case Manager/Care Coordinator
- Pasco, WA
National Provider Identifier
1053048934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- CG61320420
- Practice address
- 715 W Court St
Pasco, WA 99301-4153 - Phone
- (509) 543-8508
- Fax
- (833) 905-2271
- NPI assigned
- Aug 2, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | CG61320420 | WA | Primary |
Addresses
Primary practice location
715 W Court St
Pasco, WA 99301-4153
Mailing address
PO Box 1452
Pasco, WA 99301-1223
Phone (509) 543-8508
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CG61320420 | WA | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659657600000",
"number": "1053048934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1452",
"city": "PASCO",
"state": "WA",
"postal_code": "993011223",
"telephone_number": "509-543-8508",
"fax_number": "833-905-2271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 W COURT ST",
"city": "PASCO",
"state": "WA",
"postal_code": "993014153",
"telephone_number": "509-543-8508",
"fax_number": "833-905-2271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASPER",
"first_name": "KATHLEEN",
"middle_name": "JO-ANN",
"credential": "CG61320420",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-02",
"last_updated": "2022-08-05",
"certification_date": "2022-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "WA",
"license": "CG61320420",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pasco, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.