MEDICARE: JENNIFER SUZANNE KASIK

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator		WA

General Provider Information

NPI Number	:	1477487320
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER SUZANNE KASIK

Provider Business Mailing Address
First Line	:	3600 LIND AVE SW STE 170
Second Line	:
City	:	RENTON
State	:	WA
Zip	:	98057-4934
Country	:	US
Telephone Number	:	425-656-5060
Fax Number	:

Provider Business Practice Location Address
First Line	:	3600 LIND AVE SW STE 170
Second Line	:
City	:	RENTON
State	:	WA
Zip	:	98057-4934
Country	:	US
Telephone Number	:	425-656-5060
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2026
Last Update Date	:	06/08/2026

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