Active NPI
Misty Fletcher
- Rehabilitation Hospital
- Bremerton, WA
National Provider Identifier
1053740613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Hospital
- License
- P160217755
- Practice address
- 2701 Clare Ave
Bremerton, WA 98310-3313 - Phone
- (360) 377-3951
- NPI assigned
- Nov 4, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Hospital | 283X00000X | P160217755 | WA | Primary |
Addresses
Primary practice location
2701 Clare Ave
Bremerton, WA 98310-3313
Mailing address
2701 Clare Ave
Bremerton, WA 98310-3313
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P160217755 | Other | WA | PTA LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P160217755 | WA | MD | Rehabilitation Hospital |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383523200000",
"number": "1053740613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2701 CLARE AVE",
"city": "BREMERTON",
"state": "WA",
"postal_code": "983103313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 CLARE AVE",
"city": "BREMERTON",
"state": "WA",
"postal_code": "983103313",
"telephone_number": "360-377-3951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLETCHER",
"first_name": "MISTY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-11-04",
"last_updated": "2013-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "283X00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Hospital",
"state": "WA",
"license": "P160217755",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTA LICENSE",
"identifier": "P160217755",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bremerton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.