Individual provider Active NPI

Sherry Ruth Vokoun, ARNP

  • Pediatric Nurse Practitioner
  • Port Orchard, WA
National Provider Identifier
1659305365
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
AP30002478 Issued in WA
Practice address
450 South Kitsap Blvd
Suite 2300 Kitsap Childrens Clinic LLP
Port Orchard, WA 98366
Phone
(360) 692-9362
Fax
(360) 692-6214
NPI assigned
Jul 10, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X RN00057499 WA
Pediatric Nurse Practitioner 363LP0200X AP30002478 WA Primary

Addresses

Primary practice location

450 South Kitsap Blvd
Suite 2300 Kitsap Childrens Clinic LLP
Port Orchard, WA 98366

Mailing address

3014 Viewcrest Dr NE
Bremerton, WA 98310
Phone (360) 479-3492

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP30002478WAMDPediatric Nurse Practitioner
RN00057499WAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kitsap Childrens Clinic LLP 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1659305365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3014 VIEWCREST DR NE",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "98310",
            "telephone_number": "360-479-3492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 SOUTH KITSAP BLVD",
            "address_2": "SUITE 2300 KITSAP CHILDRENS CLINIC LLP",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "98366",
            "telephone_number": "360-692-9362",
            "fax_number": "360-692-6214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOKOUN",
        "first_name": "SHERRY",
        "middle_name": "RUTH",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "WA",
            "license": "RN00057499",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "WA",
            "license": "AP30002478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orchard, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.