Active NPI
Cameren Redmond, PA-C
- Physician Assistant
- Spokane, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA61399146
- Practice address
- 4001 N Cook St Ste 900
Spokane, WA 99207-5879 - Phone
- (509) 865-2395
- Fax
- (509) 482-4040
- NPI assigned
- Jan 17, 2023
- Last updated
- Apr 11, 2023
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA61399146 | WA | Primary |
| Medical Physician Assistant | 363AM0700X | NU |
Addresses
Primary practice location
4001 N Cook St Ste 900
Spokane, WA 99207-5879
Mailing address
4001 N Cook St Ste 900
Spokane, WA 99207-5879
Phone (509) 486-3427
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- 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
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yakima Valley Farm Workers Clinic | Current | Accepting new patients | |
| New Health Programs Association | Current | Accepting new patients | |
| Yakima Valley Farm Workers Clinic | Current | Accepting new patients | |
| New Health Programs Association | Past | Accepting new patients | |
| New Health Programs Association | Past | Accepting new patients |
Locations
3994 Colville Rd
Loon Lake, WA 99148
Phone (509) 233-8412
713 Memorial St
Prosser, WA 99350
Phone (509) 786-1931
4001 N Cook St
Ste 900
Spokane, WA 99207
Phone (509) 483-3427
Interoperability endpoints
- cameren.redmond.1@18424.direct.athenahealth.com
- credmond40980@yvfwc.direct-ci.com
Organizations & group practices 7
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.
-
dba NEW Health Chewelah Medical
- Federally Qualified Health Center (FQHC)
- Chewelah, WA
- NPI 1679537575
-
dba Behavioral Health Services
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Yakima, WA
- NPI 1295788602
-
dba NEW Health Loon Lake Medical
- Federally Qualified Health Center (FQHC)
- Loon Lake, WA
- NPI 1295799195
-
dba Miramar Health Center
- Federally Qualified Health Center (FQHC)
- Pasco, WA
- NPI 1235265455
-
dba Community Health Center of Clatskanie
- Federally Qualified Health Center (FQHC)
- Clatskanie, OR
- NPI 1578000345
-
dba NEW Health Springdale Medical
- Federally Qualified Health Center (FQHC)
- Springdale, WA
- NPI 1104880004
-
- Federally Qualified Health Center (FQHC)
- Orient, WA
- NPI 1386608560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681171200000",
"number": "1841905676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4001 N COOK ST STE 900",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992075879",
"telephone_number": "509-486-3427",
"fax_number": "509-482-4040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4001 N COOK ST STE 900",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992075879",
"telephone_number": "509-865-2395",
"fax_number": "509-482-4040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDMOND",
"first_name": "CAMEREN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-01-17",
"last_updated": "2023-04-11",
"certification_date": "2023-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA61399146",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NU",
"license": null,
"primary": false
}
],
"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 Apr 11, 2023; 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.