Individual provider Active NPI

Janell Siegel

  • Registered Nurse
  • Port Orchard, WA
National Provider Identifier
1871917500
Registry record updated Feb 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN00079867 Issued in WA
Practice address
3965 Bethel Rd SE
Port Orchard, WA 98366-1976
Phone
(360) 710-6925
NPI assigned
Feb 17, 2014
Last updated
Feb 17, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN00079867 WA Primary

Addresses

Primary practice location

3965 Bethel Rd SE
Port Orchard, WA 98366-1976

Mailing address

3965 Bethel Rd SE
Port Orchard, WA 98366-1976
Phone (360) 710-6925

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

State licenses

LicenseStateTypeSpecialty
RN00079867WAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1392595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392595200000",
    "number": "1871917500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3965 BETHEL RD SE",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983661976",
            "telephone_number": "360-710-6925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3965 BETHEL RD SE",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983661976",
            "telephone_number": "360-710-6925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGEL",
        "first_name": "JANELL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-17",
        "last_updated": "2014-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00079867",
            "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 Feb 17, 2014; 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.