Cary Jasper PLLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

CARY JASPER PLLC

Practice address

1006 Kresky Ave Ste 1
Centralia, WA 98531-3723

Phone

(360) 264-2492

NPI assigned

May 17, 2023

Last updated

May 17, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cary Jasper, FNPNPI 1427198852

Title

Owner/FNP

Phone

(907) 244-9901

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cary Jasper, A.N.P., N.D.

  • Nurse Practitioner
  • Centralia, WA
  • NPI 1427198852
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1684281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684281600000",
    "number": "1386335792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 KRESKY AVE STE 1",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985313723",
            "telephone_number": "360-264-2492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 KRESKY AVE STE 1",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985313723",
            "telephone_number": "360-264-2492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARY JASPER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-17",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A",
        "authorized_official_last_name": "JASPER",
        "authorized_official_first_name": "CARY",
        "authorized_official_title_or_position": "OWNER/FNP",
        "authorized_official_telephone_number": "907-244-9901",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nurse Practitioner in Centralia, WA
• Providers in Centralia, WA by specialty
• Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.