Individual provider Active NPI

Cassandra Klakken Viramontes, ARNP

  • Nurse Practitioner
  • Grand Coulee, WA
National Provider Identifier
1295316693
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP61156360 Issued in WA
Practice address
411 Fortuyn Rd
Grand Coulee, WA 99133-8718
Phone
(509) 633-1911
Fax
(509) 633-3644
NPI assigned
Apr 16, 2021
Last updated
Jun 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP61156360 WA Primary

Addresses

Primary practice location

411 Fortuyn Rd
Grand Coulee, WA 99133-8718

Mailing address

411 Fortuyn Rd
Grand Coulee, WA 99133-8718
Phone (509) 633-1911

Other practice location 1

218 W Main St
Coulee City, WA 99115
Phone (509) 632-5701

Other identifiers 1

IdentifierTypeStateIssuer
2188185MedicaidWA

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
I20211116000499 WA Practitioner - Nurse Practitioner 7315336237 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Douglas, Grant, Lincoln and Okanogan Counties Public Hospital DistrictGroup PAC ID 9335050285, shared by 5 NPIs, 40 clinicians

Practice addresses (Care Compare)

130 N Adams
Coulee City, WA 99115
Phone (509) 632-5701

411 Fortuyn Rd
Grand Coulee, WA 99133-8718
Phone (509) 633-1753

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6 Current Accepting new patients
Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6 Nurse Practitioner CurrentSince Aug 16, 2021 Accepting new patients
Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6 CurrentSince Aug 16, 2021 Accepting new patients
Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6 Past Accepting new patients
Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6 Past Accepting new patients

Locations

411 Fortuyn Rd
Grand Coulee, WA 99133
Phone (509) 633-1753

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1618531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1295316693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 FORTUYN RD",
            "city": "GRAND COULEE",
            "state": "WA",
            "postal_code": "991338718",
            "telephone_number": "509-633-1911",
            "fax_number": "509-633-3644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 FORTUYN RD",
            "city": "GRAND COULEE",
            "state": "WA",
            "postal_code": "991338718",
            "telephone_number": "509-633-1911",
            "fax_number": "509-633-3644"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "218 W Main St",
            "address_purpose": "LOCATION",
            "city": "Coulee City",
            "state": "WA",
            "postal_code": "99115",
            "country_code": "US",
            "telephone_number": "509-632-5701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLAKKEN VIRAMONTES",
        "first_name": "CASSANDRA",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-16",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP61156360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2188185",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Coulee, WA

Sources for this page

Verify at the official NPI Registry.