Cary Jasper, A.N.P., N.D.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP60233048 Issued in WA

Practice address

1006 Kresky Ave Ste 1
Centralia, WA 98531-3723

Phone

(360) 264-2492

NPI assigned

Feb 7, 2007

Last updated

Dec 2, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AK, WA2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Cary Jasper PLLC

  • Nurse Practitioner
  • Centralia, WA
  • NPI 1386335792
  Medicare reassignment NPD Authorized official
• Fireweed Health Care Inc

  • Nurse Practitioner
  • Anchorage, AK
  • NPI 1073653424
  Medicare reassignment NPD

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1427198852",
    "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": "602-642-4923"
        },
        {
            "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": [
        {
            "address_1": "3500 LaTouche St Ste 240A",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995084248",
            "country_code": "US",
            "telephone_number": "907-276-4611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JASPER",
        "first_name": "CARY",
        "credential": "A.N.P., N.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AK",
            "license": "345",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60233048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2069719",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP1512",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Jackson, AAC
• Juli Ann Jager, MS, R-AAC
• Rachel Jager, RN
• Eric Jahn
• Lorraine (Lori) Faye James, MA, LMHC
• Jay Walker Chiropractic PLLC
• Tristyn Jay, LMP
• Mira Sai Jayarama
• Donald Ray Jenkins
• Kathrynn Jensen, PA-C

• 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 Dec 2, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.