Individual provider Active NPI

Cassandra Medvedich, RN

  • Case Management Registered Nurse
  • Puyallup, WA
National Provider Identifier
1730098104
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
RN60645164 Issued in WA
Practice address
1315 15TH Ave SW
Puyallup, WA 98371-8557
Phone
(253) 507-0944
Fax
(253) 295-1160
NPI assigned
Sep 2, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X RN60645164 WA Primary

Addresses

Primary practice location

1315 15TH Ave SW
Puyallup, WA 98371-8557

Mailing address

1315 15TH Ave SW
Puyallup, WA 98371-8557
Phone (253) 507-0944

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": "1788307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1730098104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 15TH AVE SW",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983718557",
            "telephone_number": "253-507-0944",
            "fax_number": "253-295-1160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 15TH AVE SW",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983718557",
            "telephone_number": "253-507-0944",
            "fax_number": "253-295-1160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDVEDICH",
        "first_name": "CASSANDRA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-02",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "WA",
            "license": "RN60645164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.