Active NPI
Karen S Casseday, ARNP
- Psychiatric/Mental Health Nurse Practitioner
- Bremerton, WA
National Provider Identifier
1487936241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP60247430
- Practice address
- 1740 NE Riddell Rd Ste 110
Bremerton, WA 98310 - Phone
- (360) 567-6109
- Fax
- (360) 479-0143
- NPI assigned
- Sep 16, 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP60247430 | WA | Primary |
Addresses
Primary practice location
1740 NE Riddell Rd Ste 110
Bremerton, WA 98310
Mailing address
1740 NE Riddell Rd Ste 110
Bremerton, WA 98310-3656
Phone (360) 567-6109
Other practice location 1
10049 Kitsap Mall Blvd NW
Ste 249
Silverdale, WA 98383-8903
Phone (360) 698-0249
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0285926 | Other | WA | STATE L&I |
| 0285931 | Other | WA | STATE L&I |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 1, 2019 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533168000000",
"number": "1487936241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1740 NE RIDDELL RD STE 110",
"city": "BREMERTON",
"state": "WA",
"postal_code": "983103656",
"telephone_number": "360-567-6109",
"fax_number": "360-479-0143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1740 NE RIDDELL RD STE 110",
"city": "BREMERTON",
"state": "WA",
"postal_code": "98310",
"telephone_number": "360-567-6109",
"fax_number": "360-479-0143"
}
],
"practiceLocations": [
{
"address_1": "10049 Kitsap Mall Blvd NW",
"address_2": "Ste 249",
"address_purpose": "LOCATION",
"city": "Silverdale",
"state": "WA",
"postal_code": "983838903",
"country_code": "US",
"telephone_number": "360-698-0249",
"fax_number": "707-335-5654",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CASSEDAY",
"first_name": "KAREN",
"middle_name": "S",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-16",
"last_updated": "2018-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WA",
"license": "AP60247430",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE L&I",
"identifier": "0285926",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE L&I",
"identifier": "0285931",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bremerton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2018; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.