Individual provider Active NPI

Cady Noelle Kennedy, MD

  • Emergency Medicine Physician
  • Olympia, WA
National Provider Identifier
1093205395
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
57.246687 Issued in OH
Practice address
3900 Capital Mall Dr SW
Olympia, WA 98502-5026
Phone
(360) 754-5858
NPI assigned
May 14, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X 57.246687 OH Primary

Addresses

Primary practice location

3900 Capital Mall Dr SW
Olympia, WA 98502-5026

Mailing address

PO Box 845856
Los Angeles, CA 90084-5856
Phone (253) 403-4901

Other practice location 1

4312 Pacific Ave SE
Lacey, WA 98503-1117
Phone (564) 669-5200

Other names 1

  • Cady Noelle Sittlinger Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210727001662 WA Practitioner - Emergency Medicine 9830592997 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Loma Linda University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Olympia Emergency Care Physicians PLLCGroup PAC ID 2769862036, 31 clinicians
Northwest Emergency Physicians LLCGroup PAC ID 3476462334, 267 clinicians

Practice addresses (Care Compare)

3900 Capital Mall Dr SW
Olympia, WA 98502-8654
Phone (253) 403-4901

915 Anderson Dr
Aberdeen, WA 98520-1006
Phone (360) 532-8330

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
57.246687OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Emergency Physicians LLC Single Specialty CurrentSince Jul 1, 2021 Accepting new patients
Olympia Emergency Care Physicians PLLC Single Specialty CurrentSince Mar 1, 2023 Accepting new patients

Locations

915 Anderson Dr
Aberdeen, WA 98520
Phone (360) 532-8330

914 S Scheuber Rd
Centralia, WA 98531
Phone (360) 330-8516

4312 Pacific Ave SE
Lacey, WA 98503
Phone (253) 588-5340

3900 Capital Mall Dr SW
Olympia, WA 98502
Phone (360) 704-4743

888 Swift Blvd
Richland, WA 99352
Phone (509) 942-2115

1717 S J St
Tacoma, WA 98405
Phone (253) 426-4101

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1526256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1093205395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 845856",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900845856",
            "telephone_number": "253-403-4901",
            "fax_number": "626-623-1227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 CAPITAL MALL DR SW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985025026",
            "telephone_number": "360-754-5858"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4312 Pacific Ave SE",
            "address_purpose": "LOCATION",
            "city": "Lacey",
            "state": "WA",
            "postal_code": "985031117",
            "country_code": "US",
            "telephone_number": "564-669-5200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "CADY",
        "middle_name": "NOELLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-14",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "57.246687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CADY",
            "last_name": "SITTLINGER",
            "middle_name": "NOELLE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Olympia, WA

Sources for this page

Verify at the official NPI Registry.