Active NPI
Ronda Fay Luce, MD
- Family Medicine Physician
- Silverdale, WA
National Provider Identifier
1609951243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD00023752
- Practice address
- Central Kitsap Urgent Care
10513 Silverdale Way NW
Silverdale, WA 98383 - Phone
- (360) 692-1848
- NPI assigned
- Oct 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD00023752 | WA | Primary |
Addresses
Primary practice location
Central Kitsap Urgent Care
10513 Silverdale Way NW
Silverdale, WA 98383
Mailing address
8025 NW Wildcat Lake Rd
Bremerton, WA 98312-9571
Phone (360) 830-4411
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8187791 | Medicaid | WA |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00023752 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Northwest Healthcare | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Specialist
- Silverdale, WA
- NPI 1043260185
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609951243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8025 NW WILDCAT LAKE RD",
"city": "BREMERTON",
"state": "WA",
"postal_code": "983129571",
"telephone_number": "360-830-4411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CENTRAL KITSAP URGENT CARE",
"address_2": "10513 SILVERDALE WAY NW",
"city": "SILVERDALE",
"state": "WA",
"postal_code": "98383",
"telephone_number": "360-692-1848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCE",
"first_name": "RONDA",
"middle_name": "FAY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD00023752",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8187791",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Silverdale, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.