Sidestix Ventures USA

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

603 138 435 Issued in WA

Legal business name

SIDESTIX VENTURES USA

Practice address

410 Ida St. West
Ste 201
Bremerton, WA 98337

Phone

(877) 464-7849

NPI assigned

Oct 11, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Sarah Jane Doherty, OT

Title

President

Phone

(877) 464-7849

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1318291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333324800000",
    "number": "1881979722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 4TH ST",
            "address_2": "STE 204",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983375698",
            "telephone_number": "877-464-7849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 IDA ST. WEST",
            "address_2": "STE 201",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "98337",
            "telephone_number": "877-464-7849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIDESTIX VENTURES USA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-11",
        "last_updated": "2012-04-02",
        "status": "A",
        "authorized_official_last_name": "DOHERTY",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "877-464-7849",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WA",
            "license": "603 138 435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Gareth Shrouf, ARNP
• Garyn Fredrick Shuler, PHARM. D.
• Bonnie Shultz, MSW LICSW
• Peter Douglas Sicotte, P.T.
• Valerie Siddall, LMP
• Alexandria Jean Siefert, LICSW
• Rebecka Silberman
• Marc Silfies, CRNA
• Caitlyn Silva
• Silver Linings Psychiatry, PLLC

• Durable Medical Equipment & Medical Supplies in Bremerton, WA
• Providers in Bremerton, WA by specialty
• Durable Medical Equipment & Medical Supplies in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2012; 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.