Kristen M Childress, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP30006700 Issued in WA

Practice address

2431 Anderson Ave
Port Orchard, WA 98366-1302

Phone

(360) 710-3319

Fax

(360) 876-0878

NPI assigned

Jan 29, 2007

Last updated

Feb 10, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2009

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Sound Clinical Associates PLLC

  • Family Nurse Practitioner
  • Port Orchard, WA
  • NPI 1427352749
  Authorized official Same address or phone

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391990400000",
    "number": "1003952870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4810 POINT FOSDICK DR NW",
            "address_2": "PMB 27",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351711",
            "telephone_number": "360-710-3319",
            "fax_number": "360-876-0878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2431 ANDERSON AVE",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983661302",
            "telephone_number": "360-710-3319",
            "fax_number": "360-876-0878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILDRESS",
        "first_name": "KRISTEN",
        "middle_name": "M",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2014-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WA",
            "license": "RN00138087",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30006700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE L & I",
            "identifier": "0225388",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE L & I",
            "identifier": "0258710",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wayne Giles Chapin, LMP
• Troy Charlton
• Yen-Wei Chen
• Kimberly Elizabeth Chenoweth, EAMP, L.AC.
• Chet Jenkins II PC (Dream Smile)
• Lin Jung Chin, L.AC
• Steven C Chobot, DDS
• Chris Mueller DDS PLLC
• Rose K Christen, DPT
• Carolyn Michele Christiansen, LMP

• Family Nurse Practitioner in Port Orchard, WA
• Providers in Port Orchard, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.