Active NPI
Kassandra Jean Marie Cauckwell, NP
- Family Nurse Practitioner
- Sacramento, CA
National Provider Identifier
1427966654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95040935
- Practice address
- 2976 Kroy Way
Sacramento, CA 95817-2635 - Phone
- (707) 813-1415
- NPI assigned
- Aug 29, 2026
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95040935 | CA | Primary |
Addresses
Primary practice location
2976 Kroy Way
Sacramento, CA 95817-2635
Mailing address
2976 Kroy Way
Sacramento, CA 95817-2635
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787961600000",
"number": "1427966654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2976 KROY WAY",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958172635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2976 KROY WAY",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958172635",
"telephone_number": "707-813-1415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAUCKWELL",
"first_name": "KASSANDRA",
"middle_name": "JEAN MARIE",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-08-29",
"last_updated": "2026-08-29",
"certification_date": "2026-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95040935",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.