NPIMap

Organization Active NPI

Kitsap County

  • Prison Health Clinic/Center
  • Port Orchard, WA
National Provider Identifier
1033907795
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prison Health Clinic/CenterTaxonomy code 261QP2400X
Legal business name
KITSAP COUNTY
Practice address
614 Division St # Ms 33
Port Orchard, WA 98366-4614
Phone
(360) 337-4514
NPI assigned
Apr 30, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Authorized official

Name
Penelope Dawn Sapp
Title
Chief of Corrections
Phone
(360) 337-4514

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prison Health Clinic/Center 261QP2400X Primary

Addresses

Primary practice location

614 Division St # Ms 33
Port Orchard, WA 98366-4614

Mailing address

614 Division St # Ms 33
Port Orchard, WA 98366-4614
Phone (360) 337-4514

Other names 1

  • Kitsap County Sheriff's Office Jail Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kitsap Co Fire Dist 14 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

614 Division St
#33
Port Orchard, WA 98366
Phone (360) 337-4514

NPI Registry JSON

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

{
    "created_epoch": "1745971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1033907795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 DIVISION ST # MS 33",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983664614",
            "telephone_number": "360-337-4514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 DIVISION ST # MS 33",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983664614",
            "telephone_number": "360-337-4514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KITSAP COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-30",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A",
        "authorized_official_last_name": "SAPP",
        "authorized_official_first_name": "PENELOPE",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "CHIEF OF CORRECTIONS",
        "authorized_official_telephone_number": "360-337-4514"
    },
    "taxonomies": [
        {
            "code": "261QP2400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Prison Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kitsap County Sheriff's Office Jail",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Orchard, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; 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.