Individual provider Active NPI

Sarah Cassidy, RN, IBCLC, LMP

  • Registered Nurse
  • Tumwater, WA
National Provider Identifier
1821538208
Registry record updated Mar 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN 60287093 Issued in WA
Practice address
4026 61St CT SW
Tumwater, WA 98512-7028
Phone
(360) 292-5146
NPI assigned
Mar 3, 2017
Last updated
Mar 3, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN 60287093 WA Primary

Addresses

Primary practice location

4026 61St CT SW
Tumwater, WA 98512-7028

Mailing address

4026 61St CT SW
Tumwater, WA 98512-7028
Phone (360) 292-5146

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN 60287093WAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Lactation Consultation & Maintaining Wellness, P.S. CurrentSince Mar 7, 2021 Accepting new patients

Locations

1910 Black Lake Blvd SW
Olympia, WA 98512
Phone (360) 570-0332

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1488499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488499200000",
    "number": "1821538208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4026 61ST CT SW",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985127028",
            "telephone_number": "360-292-5146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4026 61ST CT SW",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985127028",
            "telephone_number": "360-292-5146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSIDY",
        "first_name": "SARAH",
        "name_prefix": "Mrs.",
        "credential": "RN, IBCLC, LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-03",
        "last_updated": "2017-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN 60287093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tumwater, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.