Individual provider Active NPI

Heather Rene Witte, D.C.

  • Chiropractor
  • Port Orchard, WA
National Provider Identifier
1184739187
Registry record updated Oct 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3458 Issued in WA
Practice address
1008 Bethel Ave SE
Ste a
Port Orchard, WA 98366
Phone
(360) 895-7744
Fax
(360) 895-1166
NPI assigned
Aug 20, 2006
Last updated
Oct 26, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3458 WA Primary

Addresses

Primary practice location

1008 Bethel Ave SE
Ste a
Port Orchard, WA 98366

Mailing address

1008 Bethel Ave SE
Ste a
Port Orchard, WA 98366
Phone (360) 895-7744

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
3458WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
West Sound Chiropractic Clinic PLLC Chiropractor Past Accepting new patients
Chiropractic Health Center Inc PS Chiropractor PastSince Jul 1, 2010 Accepting new patients
West Sound Chiropractic, P.S. Chiropractor Past Accepting new patients
Johnston Chiropractic Center, Inc P.S. Chiropractor Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193356800000",
    "number": "1184739187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 BETHEL AVE SE",
            "address_2": "STE A",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "98366",
            "telephone_number": "360-895-7744",
            "fax_number": "360-895-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 BETHEL AVE SE",
            "address_2": "STE A",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "98366",
            "telephone_number": "360-895-7744",
            "fax_number": "360-895-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTE",
        "first_name": "HEATHER",
        "middle_name": "RENE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2007-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "3458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 26, 2007; 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.