Active NPI
Amy Ruth Cassotta, ANP-C
- Adult Health Nurse Practitioner
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- F305407-1
- Practice address
- 450 Alaskan Way S Ste 200
Seattle, WA 98104-2785 - Phone
- (888) 731-8994
- NPI assigned
- Feb 24, 2011
- Last updated
- Mar 5, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | F305407-1 | NY | Primary |
| Adult Health Nurse Practitioner | 363LA2200X | AP61641168 | WA | |
| Adult Health Nurse Practitioner | 363LA2200X | RN2288442 | MA |
Addresses
Primary practice location
450 Alaskan Way S Ste 200
Seattle, WA 98104-2785
Mailing address
450 Alaskan Way S Ste 200
Seattle, WA 98104-2785
Phone (888) 731-8994
Other practice location 1
100 Cambridge St
Boston, MA 02114-2509
Phone (888) 731-8994
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110118495A | Medicaid | MA | |
| 02311659 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F305407-1 | NY | MD | Adult Health Nurse Practitioner |
| AP61641168 | WA | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Martha's Vineyard Hospital, Inc. | Current | Accepting new patients | |
| Martha's Vineyard Hospital, Inc. | Current | Accepting new patients | |
| Martha's Vineyard Hospital, Inc. | Current | Accepting new patients | |
| Prime Columbia Greene Medical Associates, PC | Past | Accepting new patients | |
| Prime Care Physicians, P.L.L.C. | Adult Health | Past | Accepting new patients |
| Christine M James ND PLLC | Past | Accepting new patients |
Locations
1 Hospital Rd
Oak Bluffs, MA 02557
Phone (508) 684-4500
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Oak Bluffs, MA
- NPI 1194866210
-
- Critical Access Hospital
- Oak Bluffs, MA
- NPI 1134206386
-
dba Martha's Vineyard Hospital
- Rural Health Clinic/Center
- Oak Bluffs, MA
- NPI 1508413725
-
dba Sound Medical Weight Loss
- Medical Specialty Clinic/Center
- Kirkland, WA
- NPI 1437604428
-
- Cardiovascular Disease Physician
- Albany, NY
- NPI 1285627075
Adult Health
-
- Internal Medicine Physician
- Hudson, NY
- NPI 1093771677
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772668800000",
"number": "1548567779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 ALASKAN WAY S STE 200",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981042785",
"telephone_number": "888-731-8994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 ALASKAN WAY S STE 200",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981042785",
"telephone_number": "888-731-8994"
}
],
"practiceLocations": [
{
"address_1": "100 Cambridge St",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021142509",
"country_code": "US",
"telephone_number": "888-731-8994",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CASSOTTA",
"first_name": "AMY",
"middle_name": "RUTH",
"name_prefix": "Ms.",
"credential": "ANP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-24",
"last_updated": "2026-03-05",
"certification_date": "2026-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F305407-1",
"primary": true
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "WA",
"license": "AP61641168",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MA",
"license": "RN2288442",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110118495A",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02311659",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; 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.