Active NPI
Cassandra Klakken Viramontes, ARNP
- Nurse Practitioner
- Grand Coulee, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP61156360
- 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, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2188185 | Medicaid | WA |
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
Enrollment records 1
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 District
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 100
- Quality
- 80.38
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New 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 | Current | Accepting new patients |
| Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6 | Current | 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.
-
- Critical Access Hospital
- Grand Coulee, WA
- NPI 1184844185
-
- Family Medicine Physician
- Grand Coulee, WA
- NPI 1265422935
Nurse Practitioner
-
dba Coulee Medical Center
- Medicare Defined Swing Bed Hospital Unit
- Grand Coulee, WA
- NPI 1699851840
-
dba Coulee Medical Center
- Rural Health Clinic/Center
- Grand Coulee, WA
- NPI 1457420218
-
dba Coulee Medical Center
- Rural Health Clinic/Center
- Coulee City, WA
- NPI 1720169048
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Grand Coulee, WA
- NPI 1184844185
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.