NPIMap

Organization Active NPI

Kitsap Childrens Clinic LLP

  • Pediatrics Physician
  • Port Orchard, WA
National Provider Identifier
1720175672
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
KITSAP CHILDRENS CLINIC LLP
Practice address
450 South Kitsap Blvd
Suite 2300
Port Orchard, WA 98366
Phone
(360) 895-0216
Fax
(360) 895-7919
NPI assigned
Oct 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
R Barnes Voegtlen, MD
Title
Medical Director
Phone
(360) 692-9362

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X WA Primary

Addresses

Primary practice location

450 South Kitsap Blvd
Suite 2300
Port Orchard, WA 98366

Mailing address

9951 Mickelberry Rd NW
Suite 101
Silverdale, WA 98383
Phone (360) 692-9362

National Provider Directory

National Provider Directory

Locations

450 S Kitsap Blvd
Ste 2300
Port Orchard, WA 98366
Phone (360) 895-0216

9951 Mickelberry Rd NW
Ste 101
Silverdale, WA 98383
Phone (360) 475-3729

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1720175672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9951 MICKELBERRY RD NW",
            "address_2": "SUITE 101",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "98383",
            "telephone_number": "360-692-9362",
            "fax_number": "360-692-6214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 SOUTH KITSAP BLVD",
            "address_2": "SUITE 2300",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "98366",
            "telephone_number": "360-895-0216",
            "fax_number": "360-895-7919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KITSAP CHILDRENS CLINIC LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "VOEGTLEN",
        "authorized_official_first_name": "R",
        "authorized_official_middle_name": "BARNES",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "360-692-9362",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "WA",
            "license": null,
            "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 Jul 21, 2022; 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.