Individual provider Active NPI

Katlyn Elizabeth Sargent Sheets, ARNP

  • Family Nurse Practitioner
  • Bremerton, WA
National Provider Identifier
1952903510
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP61228185 Issued in WA
Practice address
1100 Wheaton Way Ste F
Bremerton, WA 98310-4459
Phone
(360) 621-2696
Fax
(844) 602-4646
NPI assigned
Nov 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP61228185 WA Primary

Addresses

Primary practice location

1100 Wheaton Way Ste F
Bremerton, WA 98310-4459

Mailing address

1100 Wheaton Way Ste F
Bremerton, WA 98310-4459
Phone (360) 621-2696

Other names 1

  • Katlyn Elizabeth Sargent Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211008001887 WA Practitioner - Nurse Practitioner 4183022908 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Manette Clinic a Professional Service CorporationGroup PAC ID 3779884713, 6 clinicians

Practice addresses (Care Compare)

1100 Wheaton Way
Bremerton, WA 98310-4459
Phone (360) 621-2696

1100 Wheaton Way F and G
Bremerton, WA 98310-4459

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP61228185WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Manette Clinic a Professional Service Corporation Clinic/Center CurrentSince Oct 6, 2021 Accepting new patients

Locations

1100 Wheaton Way
Ste F
Bremerton, WA 98310
Phone (360) 621-2696

1100 Wheaton Way
Ste Fg
Bremerton, WA 98310
Phone (360) 621-2696

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1952903510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 WHEATON WAY STE F",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983104459",
            "telephone_number": "360-621-2696",
            "fax_number": "844-602-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 WHEATON WAY STE F",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983104459",
            "telephone_number": "360-621-2696",
            "fax_number": "844-602-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARGENT SHEETS",
        "first_name": "KATLYN",
        "middle_name": "ELIZABETH",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-09",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61228185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATLYN",
            "last_name": "SARGENT",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bremerton, WA

Sources for this page

Verify at the official NPI Registry.