Individual provider Active NPI

St John Aud Cavins, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Tukwila, WA
National Provider Identifier
1154899805
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP61025837 Issued in WA
Practice address
16000 Christensen Rd Ste 200
Tukwila, WA 98188-2925
Phone
(833) 719-0886
NPI assigned
Nov 10, 2018
Last updated
Aug 25, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61025837 WA Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3012865 KY

Addresses

Primary practice location

16000 Christensen Rd Ste 200
Tukwila, WA 98188-2925

Mailing address

PO Box 257
Olympia, WA 98507-0257

Other names 1

  • Audrey Leigh Cavins-Ezell 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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200303002665 WA Practitioner - Nurse Practitioner 3971848839 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Harbor Youth and Family CounselingGroup PAC ID 7012338981, 32 clinicians

Practice addresses (Care Compare)

16000 Christensen Rd
Suite 200
Tukwila, WA 98188-2925
Phone 70279035833583

Merit-based Incentive Payment System (MIPS)

Final score
84.22 of 100Reported as group
Quality
72.08
Promoting interoperability
70
Improvement activities
40
Cost
66.98

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eleanor Health Professional Wa, PLLC CurrentSince Aug 24, 2023 Accepting new patients
Harbor Youth and Family Counseling CurrentSince May 25, 2023 Accepting new patients
Rainier Springs Physician Group, LLC CurrentSince Jan 11, 2020 Accepting new patients

Locations

4310 Colby Ave
Ste 201
Everett, WA 98203
Phone (425) 252-7000

221 W Wynooche Ave
Unit B
Montesano, WA 98563
Phone (360) 280-4969

1120 E Terrace St
Ste 100
Seattle, WA 98122
Phone (206) 312-4072

16000 Christensen Rd
Ste 200
Tukwila, WA 98188
Phone (833) 719-0886

2805 NE 129th St
Vancouver, WA 98686
Phone (360) 356-1890

Interoperability endpoints

  • Direct secure messaging: audrey.cavins-ezell.1@24259.direct.athenahealth.com

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1541808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1154899805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 257",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985070257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16000 CHRISTENSEN RD STE 200",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981882925",
            "telephone_number": "833-719-0886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVINS",
        "first_name": "ST JOHN",
        "middle_name": "AUD",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-10",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61025837",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3012865",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUDREY",
            "last_name": "CAVINS-EZELL",
            "middle_name": "LEIGH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tukwila, WA

Sources for this page

Verify at the official NPI Registry.