Active NPI
County of Kitsap
- Prison Health Clinic/Center
- Port Orchard, WA
National Provider Identifier
1053115550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prison Health Clinic/Center
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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"
}
]
}
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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.