North Kitsap Family Practice and Urgent Care P.S.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NORTH KITSAP FAMILY PRACTICE AND URGENT CARE P.S.

Practice address

20730 Bond Rd NE Ste 205
Poulsbo, WA 98370-9000

Phone

(360) 697-1957

Fax

(360) 779-9224

NPI assigned

Jan 23, 2007

Last updated

Jun 13, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jodene M Bethel

Title

Clinic Administrator

Phone

(360) 697-1957

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Noor A. Aaf, PA-C

  • Medical Physician Assistant
  • Seattle, WA
  • NPI 1558394171
  NPD (past)
• Brad L Andersen, MD

  • Family Medicine Physician
  • Poulsbo, WA
  • NPI 1598831406
  NPD (past)
• Teresa A Andersen, MD

  • Family Medicine Physician
  • Poulsbo, WA
  • NPI 1790861706
  NPD (past)
• Carrielyn Bays, P.A.

  • Physician Assistant
  • Silverdale, WA
  • NPI 1699828376
  NPD (past)
• Sally L Conrad, PA-C

  • Medical Physician Assistant
  • Poulsbo, WA
  • NPI 1770812851
  NPD (past)
• Jason C Davis, P.A. -C

  • Physician Assistant
  • Snohomish, WA
  • NPI 1114257789
  NPD (past)
• Matthew Gambone, PA

  • Physician Assistant
  • Bellevue, WA
  • NPI 1104869478
  NPD (past)
• Margaret M Henderson, PA-C

  • Physician Assistant
  • Puyallup, WA
  • NPI 1396722245
  NPD (past)
• Mark C Hoffman, MD

  • Family Medicine Physician
  • Poulsbo, WA
  • NPI 1093883738
  NPD (past)
• Paul A Kremer, MD

  • Ophthalmology Physician
  • Silverdale, WA
  • NPI 1639170152
  NPD (past)
• Rachel Erin McElvain, PAC

  • Physician Assistant
  • Port Orchard, WA
  • NPI 1528132206
  NPD (past)
• Robert C Morash Jr., PA-C

  • Medical Physician Assistant
  • Silverdale, WA
  • NPI 1073572376
  NPD (past)

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402617600000",
    "number": "1447304449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20730 BOND RD NE STE 205",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983709000",
            "telephone_number": "360-697-1957",
            "fax_number": "360-779-9224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20730 BOND RD NE STE 205",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983709000",
            "telephone_number": "360-697-1957",
            "fax_number": "360-779-9224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH KITSAP FAMILY PRACTICE AND URGENT CARE P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2014-06-13",
        "status": "A",
        "authorized_official_last_name": "BETHEL",
        "authorized_official_first_name": "JODENE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATOR",
        "authorized_official_telephone_number": "360-697-1957",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "CB3969",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kurt David Nielsen, PSYD
• Megan K Nightingale, AUD
• Andrew Glen Noble, O.D.
• North Kitsap Ambulatory Surgery Center, LLC (Pacific Surgery Center)
• North Kitsap Ear Nose & Throat Clinic
• North Kitsap Pediatrics P.S.
• North Kitsap School District
• North Peninsula Chiropractic
• North Peninsula Physical Therapy, PLLC (DaVinci Physical Therapy)
• Donald Warren Novey, MD

• Family Medicine Physician in Poulsbo, WA
• Providers in Poulsbo, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2014; 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.