Active NPI
Christine Danielsen
- Skilled Nursing Facility
- Port Orchard, WA
National Provider Identifier
1902278849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 910859567
- Practice address
- 2051 Pottery Ave
Port Orchard, WA 98366-2010 - Phone
- (360) 876-4461
- NPI assigned
- Oct 29, 2015
- Last updated
- Oct 29, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 910859567 | WA | Primary |
Addresses
Primary practice location
2051 Pottery Ave
Port Orchard, WA 98366-2010
Mailing address
2051 Pottery Ave
Port Orchard, WA 98366-2010
Phone (360) 876-4461
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
| License | State | Type | Specialty |
|---|---|---|---|
| 910859567 | WA | MD | Skilled Nursing Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446076800000",
"number": "1902278849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2051 POTTERY AVE",
"city": "PORT ORCHARD",
"state": "WA",
"postal_code": "983662010",
"telephone_number": "360-876-4461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2051 POTTERY AVE",
"city": "PORT ORCHARD",
"state": "WA",
"postal_code": "983662010",
"telephone_number": "360-876-4461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIELSEN",
"first_name": "CHRISTINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-29",
"last_updated": "2015-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "WA",
"license": "910859567",
"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 Oct 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.