Katja Douwes-Campos

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DI61215759 Issued in WA

Practice address

2508 Wheaton Way
Bremerton, WA 98310-3303

Phone

(360) 377-3776

NPI assigned

Nov 2, 2022

Last updated

Nov 2, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Katja Douwes Former name

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Peninsula Community Health ServicesGroup PAC ID 9436044781, 47 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: katja.douwes-campos.1@13902.direct.athenahealth.com

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.

• Peninsula Community Health Services

  • Federally Qualified Health Center (FQHC)
  • Bremerton, WA
  • NPI 1982654182
  Medicare reassignment Care Compare group NPD
• Peninsula Community Health Services

  • Federally Qualified Health Center (FQHC)
  • Belfair, WA
  • NPI 1528517216
  NPD
• Peninsula Community Health Services

  • Federally Qualified Health Center (FQHC)
  • Poulsbo, WA
  • NPI 1831912021
  NPD
• Peninsula Community Health Services

  • Federally Qualified Health Center (FQHC)
  • Port Orchard, WA
  • NPI 1205886934
  NPD (past)

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

{
    "created_epoch": "1667347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1780391318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7531 E RAMBLEWOOD ST",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983668442",
            "telephone_number": "206-422-3244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2508 WHEATON WAY",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983103303",
            "telephone_number": "360-377-3776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUWES-CAMPOS",
        "first_name": "KATJA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-02",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI61215759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATJA",
            "last_name": "DOUWES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kira Dorsey, CDP
• Lisa Kim Doubleday, RDH
• Haley Douglas
• Mary Douglas, CG60155
• Sonya Maria Douglas, DMD
• Jessica Ann Dowdle, BSW
• Caryl J Dowell, C.N.M, R.N.
• Erin Doxtader, O.D
• Doyle & Associates Chiropractic Clinic Inc PS
• Dr Allan Hablutzel

• Registered Dietitian in Bremerton, WA
• Providers in Bremerton, WA by specialty
• Registered Dietitian in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.