Rene Kathleen Sperry, CP 60144992

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

19351 8TH Ave NE Ste 141
Poulsbo, WA 98370-7087

Phone

(360) 876-9430

Fax

(360) 598-4114

NPI assigned

Mar 5, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1614902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614902400000",
    "number": "1104411768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19351 8TH AVE NE STE 141",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983707087",
            "telephone_number": "360-876-9430",
            "fax_number": "360-598-4114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19351 8TH AVE NE STE 141",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983707087",
            "telephone_number": "360-876-9430",
            "fax_number": "360-598-4114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPERRY",
        "first_name": "RENE",
        "middle_name": "KATHLEEN",
        "credential": "CP 60144992",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-05",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rene.sperry@wstcs.org",
            "affiliation": "N",
            "endpointDescription": "direct email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "19351 8th Ave NE Ste 141",
            "city": "Poulsbo",
            "state": "WA",
            "country_code": "US",
            "postal_code": "983707087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sound Family Medicine and Urgent Care PLLC
• Sound Health and Wellness Center Inc.
• Sound Oxygen Service LLC
• Sound Pediatrics, PLLC
• Stephen Douglas Speidel, N.D.
• Amy Spikes
• Spirit Horses
• Robert Sprague
• Kristin St.Carrell, LMP
• Kara Lyn Stadshaug, DPT

• Addiction (Substance Use Disorder) Counselor in Poulsbo, WA
• Providers in Poulsbo, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2021; 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.