Individual provider Active NPI

Juliet Rohan Bliss, D.O.

  • Family Medicine Physician
  • Silverdale, WA
National Provider Identifier
1578974911
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OP60769795 Issued in WA
Practice address
9927 Mickelberry Rd NW Ste 131
Silverdale, WA 98383-7861
Phone
(360) 337-5800
Fax
(360) 692-1392
NPI assigned
May 19, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OP60769795 WA Primary

Addresses

Primary practice location

9927 Mickelberry Rd NW Ste 131
Silverdale, WA 98383-7861

Mailing address

9927 Mickelberry Rd NW
Ste 131
Silverdale, WA 98383-7861
Phone (360) 337-5800

Other identifiers 1

IdentifierTypeStateIssuer
2068630MedicaidWA

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address medicalrecords.healthpoint.p3@direct.hpc.nextgenshare.com
Direct Messaging Address jbliss700895@fhsce.catholichealth.net Direct Franciscan Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170815004190 WA Practitioner - Family Practice 9436451887 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franciscan Medical GroupGroup PAC ID 0547173866, 1,400 clinicians

Practice addresses (Care Compare)

4207 Kitsap Way
Bremerton, WA 98312-2447
Phone (360) 415-1080

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OP60769795WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpoint CurrentSince Jul 4, 2017 Accepting new patients
Healthpoint CurrentSince Jul 4, 2017 Accepting new patients
Franciscan Medical Group Family Medicine CurrentSince Jul 8, 2021 Accepting new patients
Healthpoint Family Medicine Current Accepting new patients
Franciscan Medical Group CurrentSince Jul 8, 2021 Accepting new patients
Franciscan Medical Group Family Medicine Past Accepting new patients
Harrison Medical Center Past Accepting new patients
Healthpoint Family Medicine Past Accepting new patients

Locations

126 Auburn Ave
Ste 300
Auburn, WA 98002
Phone (253) 735-0166

10414 Beardslee Blvd
Ste 100
Bothell, WA 98011
Phone (425) 486-0658

4207 Kitsap Way
Bremerton, WA 98312
Phone (360) 415-1080

2520 Cherry Ave
Bremerton, WA 98310
Phone (360) 377-3911

33431 13th Pl S
Federal Way, WA 98003
Phone (253) 874-7634

403 E Meeker St
Ste 200
Kent, WA 98030
Phone (253) 852-2866

16255 NE 87th St
Ste 150
Redmond, WA 98052
Phone (425) 882-1697

200 S 2nd St
Renton, WA 98057
Phone (425) 226-5536

955 Powell Ave SW
Renton, WA 98057
Phone (253) 735-0166

1800 NW Myhre Rd
Silverdale, WA 98383
Phone (360) 337-8800

9927 Mickelberry Rd NW
Ste 131
Silverdale, WA 98383
Phone (360) 337-5800

1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200

Organizations & group practices 8

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1400457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1578974911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9927 MICKELBERRY RD NW",
            "address_2": "STE 131",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983837861",
            "telephone_number": "360-337-5800",
            "fax_number": "360-692-1392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9927 MICKELBERRY RD NW STE 131",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983837861",
            "telephone_number": "360-337-5800",
            "fax_number": "360-692-1392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLISS",
        "first_name": "JULIET",
        "middle_name": "ROHAN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-19",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OP60769795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2068630",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "medicalrecords.healthpoint.p3@direct.hpc.nextgenshare.com",
            "affiliation": "N",
            "address_1": "403 E Meeker St Ste 200",
            "city": "Kent",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980305904",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbliss700895@fhsce.catholichealth.net",
            "affiliation": "Y",
            "affiliationName": "Franciscan Medical Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9927 Mickelberry Rd NW Ste 131",
            "city": "Silverdale",
            "state": "WA",
            "country_code": "US",
            "postal_code": "983837861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Silverdale, WA

Sources for this page

Verify at the official NPI Registry.