Active NPI
Carmen Cassity, D.C.
- Chiropractor
- Tukwila, WA
National Provider Identifier
1376842500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2493
- Practice address
- 13775 Interurban Ave S Apt D102
Tukwila, WA 98168-5128 - Phone
- (563) 528-4160
- NPI assigned
- Mar 28, 2011
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2493 | TN | Primary |
Addresses
Primary practice location
13775 Interurban Ave S Apt D102
Tukwila, WA 98168-5128
Mailing address
13775 Interurban Ave S Apt D102
Tukwila, WA 98168-5128
Phone (563) 528-4160
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2493 | TN | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580515200000",
"number": "1376842500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13775 INTERURBAN AVE S APT D102",
"city": "TUKWILA",
"state": "WA",
"postal_code": "981685128",
"telephone_number": "563-528-4160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13775 INTERURBAN AVE S APT D102",
"city": "TUKWILA",
"state": "WA",
"postal_code": "981685128",
"telephone_number": "563-528-4160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASSITY",
"first_name": "CARMEN",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-28",
"last_updated": "2020-02-01",
"certification_date": "2020-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TN",
"license": "2493",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tukwila, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.