Kitsap Sexual Assault Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

KITSAP SEXUAL ASSAULT CENTER

Practice address

600 Kitsap St Ste 103
Port Orchard, WA 98366-5341

Phone

(360) 479-1788

Fax

(360) 895-8696

NPI assigned

Dec 7, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Christine Louise Larae

Title

Medical Biller

Phone

(360) 479-1788

Specialties & licenses 1

Addresses

Tax ID family

Kitsap Sexual Assault Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Kitsap Sexual Assault Center

  • Community/Behavioral Health Agency
  • Port Orchard, WA
  • NPI 1780817882
  NPD tax ID

Locations

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

{
    "created_epoch": "1481068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481068800000",
    "number": "1265976419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 KITSAP ST STE 103",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983665341",
            "telephone_number": "360-479-1788",
            "fax_number": "360-895-8696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 KITSAP ST STE 103",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983665341",
            "telephone_number": "360-479-1788",
            "fax_number": "360-895-8696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KITSAP SEXUAL ASSAULT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-07",
        "last_updated": "2016-12-07",
        "status": "A",
        "authorized_official_last_name": "LARAE",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "MEDICAL BILLER",
        "authorized_official_telephone_number": "360-479-1788",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kitsap County (Kitsap County Sheriff's Office Jail)
• Kitsap County Aging
• Kitsap County Juvenile Department
• Kitsap Physical Therapy and Sports Clinic PS Inc
• Kitsap Physical Therapy LLC (Kitsap Physical Therapy and Sports Clinics)
• Kitsap Sexual Assault Center
• Kitsap Speech Language Pathology Services (Kitsap SLP Services)
• Kitsap Therapeutic Medical Massage and Bodywork, LLC
• Leeza Klock, RN
• Roberta Jean Knapp

• Community/Behavioral Health Agency in Port Orchard, WA
• Providers in Port Orchard, WA by specialty
• Community/Behavioral Health Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2016; 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.