Individual provider Active NPI

Kassandra Jean Marie Cauckwell, NP

  • Family Nurse Practitioner
  • Sacramento, CA
National Provider Identifier
1427966654
Registry record updated Aug 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95040935 Issued in CA
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

Updated by the provider on Aug 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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.

Verify at the official NPI Registry.