Active NPI
Amanda Kasper
- Clinical Exercise Physiologist
- Spokane, WA
National Provider Identifier
1801289970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Exercise Physiologist
- Practice address
- 619 W Persimmon LN
Spokane, WA 99224-8435 - Phone
- (509) 315-8005
- NPI assigned
- Mar 12, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 631836 | WA | |
| Clinical Exercise Physiologist | 224Y00000X | Primary |
Addresses
Primary practice location
619 W Persimmon LN
Spokane, WA 99224-8435
Mailing address
619 W Persimmon LN
Spokane, WA 99224-8435
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 631836 | WA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427328000000",
"number": "1801289970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "619 W PERSIMMON LN",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992248435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "619 W PERSIMMON LN",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992248435",
"telephone_number": "509-315-8005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASPER",
"first_name": "AMANDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-03-12",
"last_updated": "2015-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "631836",
"primary": false
},
{
"code": "224Y00000X",
"taxonomy_group": "",
"desc": "Clinical Exercise Physiologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.