Organization Active NPI

County of Kitsap

  • Prison Health Clinic/Center
  • Port Orchard, WA
National Provider Identifier
1053115550
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prison Health Clinic/CenterTaxonomy code 261QP2400X
Legal business name
COUNTY OF KITSAP
Practice address
614 Division St # 33
Port Orchard, WA 98366-4614
Phone
(360) 337-4514
NPI assigned
Apr 3, 2025
Last updated
Apr 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 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 # 33
Port Orchard, WA 98366-4614

Mailing address

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

Other names 1

  • Kitsap County Sheriff's Office Jail Other name

National Provider Directory

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": "1743638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743638400000",
    "number": "1053115550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 DIVISION ST # 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 # 33",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983664614",
            "telephone_number": "360-337-4514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF KITSAP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-03",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "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": "5",
            "type": "Other Name"
        }
    ]
}

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 3, 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.