Active NPI
Laurie Ann Oneill, M.D.
- Family Medicine Physician
- Port Orchard, WA
National Provider Identifier
1720053093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD00038319
- Practice address
- 320 South Kitsap Blvd
Port Orchard, WA 98366 - Phone
- (360) 876-7215
- Fax
- (360) 876-6721
- NPI assigned
- Feb 21, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101231163 | VA | |
| Family Medicine Physician | 207Q00000X | MD00038319 | WA | Primary |
Addresses
Primary practice location
320 South Kitsap Blvd
Port Orchard, WA 98366
Mailing address
P.O. Box 960
Bremerton, WA 98337
Phone (360) 478-2366
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005626935 | Medicaid | VA |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peninsula Community Health Services | Family Medicine | 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.
-
- Federally Qualified Health Center (FQHC)
- Port Orchard, WA
- NPI 1205886934
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227657600000",
"number": "1720053093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 960",
"city": "BREMERTON",
"state": "WA",
"postal_code": "98337",
"telephone_number": "360-478-2366",
"fax_number": "360-373-2096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 SOUTH KITSAP BLVD",
"city": "PORT ORCHARD",
"state": "WA",
"postal_code": "98366",
"telephone_number": "360-876-7215",
"fax_number": "360-876-6721"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ONEILL",
"first_name": "LAURIE",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-21",
"last_updated": "2008-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101231163",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD00038319",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "005626935",
"state": "VA"
}
],
"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 Nov 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.