Jill Marie Woertman, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA10003217 Issued in WA

Practice address

2601 Cherry Ave
Suite 208
Bremerton, WA 98310-4203

Phone

(360) 373-9191

Fax

(360) 373-8682

NPI assigned

May 24, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Robert L. Caulkins, D.O.

  • Family Medicine Physician
  • Bremerton, WA
  • NPI 1033320007
  NPD (past)

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619922697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 CHERRY AVE",
            "address_2": "SUITE 208",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983104203",
            "telephone_number": "360-373-9191",
            "fax_number": "360-373-8682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 CHERRY AVE",
            "address_2": "SUITE 208",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983104203",
            "telephone_number": "360-373-9191",
            "fax_number": "360-373-8682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOERTMAN",
        "first_name": "JILL",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA10003217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allishia Kerynn Winnett
• Denee N Winnie
• Malcolm William Winter, M.D.
• Barry Mitchell Wise
• Tristan Wiss
• Andrea Susan Wolber, CC
• Anna Woloschek
• Hyunggil Stephen Woo
• Nicholas Wood
• Natalie Woodford

• Medical Physician Assistant in Bremerton, WA
• Providers in Bremerton, WA by specialty
• Medical Physician Assistant in Washington

• 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.

Verify at the official NPI Registry.