Individual provider Active NPI

Sydnee Nicole Vacura, RN

  • Registered Nurse
  • Everett, WA
National Provider Identifier
1912854571
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN70097823 Issued in WA
Practice address
5130 Evergreen Way
Everett, WA 98203-2875
Phone
(425) 683-0800
NPI assigned
Mar 12, 2026
Last updated
Mar 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R49089 ND
Registered Nurse 163W00000X 10047687 OR
Registered Nurse 163W00000X RN70097823 WA Primary

Addresses

Primary practice location

5130 Evergreen Way
Everett, WA 98203-2875

Mailing address

8444 N 90TH St Ste 100
Scottsdale, AZ 85258-4437
Phone (602) 248-8886

Other practice location 1

901 28th St S Ste C
Fargo, ND 58103-8745
Phone (701) 404-1100

Other practice location 2

702 Church St NE
Salem, OR 97301-2404
Phone (503) 991-5903

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
R49089NDMDRegistered Nurse
10047687ORMDRegistered Nurse
RN70097823WAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Services Montana-Private, LLC Past Accepting new patients
Community Medical Services Montana Private LLC PastSince Jul 31, 2023 Accepting new patients
Community Medical Services Montana-Private, LLC PastSince May 26, 2024 Accepting new patients

Organizations & group practices 3

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": "1773273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1912854571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8444 N 90TH ST STE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584437",
            "telephone_number": "602-248-8886",
            "fax_number": "602-854-0504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5130 EVERGREEN WAY",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982032875",
            "telephone_number": "425-683-0800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 28th St S Ste C",
            "address_purpose": "LOCATION",
            "city": "Fargo",
            "state": "ND",
            "postal_code": "581038745",
            "country_code": "US",
            "telephone_number": "701-404-1100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "702 Church St NE",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973012404",
            "country_code": "US",
            "telephone_number": "503-991-5903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VACURA",
        "first_name": "SYDNEE",
        "middle_name": "NICOLE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-12",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ND",
            "license": "R49089",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "10047687",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN70097823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; 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.