Healthcare Provider Details

I. General information

NPI: 1306639158
Provider Name (Legal Business Name): KIRA CAGER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KIRA KNIGHT

II. Dates (important events)

Enumeration Date: 05/26/2025
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3901 HOYT AVE
EVERETT WA
98201-4918
US

IV. Provider business mailing address

7600 EVERGREEN WAY
EVERETT WA
98203-6421
US

V. Phone/Fax

Practice location:
  • Phone: 425-339-5408
  • Fax:
Mailing address:
  • Phone: 206-860-5414
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberAP70011621
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: