Individual provider Active NPI

Kassandra E Ransom, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Vancouver, WA
National Provider Identifier
1124682232
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP61115386 Issued in WA
Practice address
101 E 8TH St Ste 110
Vancouver, WA 98660-3294
Phone
(360) 502-2484
Fax
(360) 230-4466
NPI assigned
Apr 24, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN61087806 WA
Registered Nurse 163W00000X 201500119RN OR
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61115386 WA Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 202005885NP-PP OR

Addresses

Primary practice location

101 E 8TH St Ste 110
Vancouver, WA 98660-3294

Mailing address

8625 NE 70TH Cir
Vancouver, WA 98662-4434
Phone (360) 502-2484

Other practice location 1

221 1st Ave W Ste 200
Seattle, WA 98119-4223
Phone (360) 502-2484

Other practice location 2

1827 NE 44th Ave Ste 315
Portland, OR 97213-1467
Phone (360) 502-2484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200910000911 OR Practitioner - Nurse Practitioner 7911325782 Reassigns benefits to 1 organization
I20220818000838 WA Practitioner - Nurse Practitioner 7911325782 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mindful Therapy Group PCGroup PAC ID 4981872561, 654 clinicians

Practice addresses (Care Compare)

7600 NE 41St St
Suite 200
Vancouver, WA 98662-6772
Phone (425) 640-7009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
201500119RNORMDRegistered Nurse
RN61087806WAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Therapy Group PC Psychiatric/Mental Health CurrentSince Aug 4, 2022 Accepting new patients
Precision Mental Performance LLC Psychiatric/Mental Health CurrentSince Sep 1, 2020 Accepting new patients
Ransom Mental Health Psychiatric/Mental Health Current Accepting new patients
Precision Mental Performance LLC Psychiatric/Mental Health PastSince Aug 1, 2020 Accepting new patients

Locations

1827 NE 44th Ave
Ste 315
Portland, OR 97213
Phone (360) 502-2484

6505 216th St SW
Ste 100
Mountlake Terrace, WA 98043
Phone (425) 678-6463

21907 64th Ave W
Ste 200
Mountlake Terrace, WA 98043
Phone (410) 258-3698

320 NE 97th St
Ste A
Seattle, WA 98115
Phone (206) 323-8113

7600 NE 41st St
Ste 200
Vancouver, WA 98662
Phone (360) 205-5977

101 E 8th St
Ste 110
Vancouver, WA 98660
Phone (253) 349-8292

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1124682232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8625 NE 70TH CIR",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986624434",
            "telephone_number": "360-502-2484",
            "fax_number": "360-230-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E 8TH ST STE 110",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986603294",
            "telephone_number": "360-502-2484",
            "fax_number": "360-230-4466"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "221 1st Ave W Ste 200",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981194223",
            "country_code": "US",
            "telephone_number": "360-502-2484",
            "fax_number": "360-230-4466",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1827 NE 44th Ave Ste 315",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972131467",
            "country_code": "US",
            "telephone_number": "360-502-2484",
            "fax_number": "360-230-4466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANSOM",
        "first_name": "KASSANDRA",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-24",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN61087806",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "201500119RN",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61115386",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "202005885NP-PP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.