Organization Active NPI

Kitsap Childrens Clinic

  • Pediatrics Physician
  • Silverdale, WA
National Provider Identifier
1982778650
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
KITSAP CHILDRENS CLINIC
Practice address
9951 Mickelberry Rd NW
Suite 101
Silverdale, WA 98383
Phone
(360) 692-9362
Fax
(360) 692-6214
NPI assigned
Nov 17, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Barney Russel Voegtlen, M.D.
Title
Medical Director
Phone
(360) 692-9362

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X WA Primary

Addresses

Primary practice location

9951 Mickelberry Rd NW
Suite 101
Silverdale, WA 98383

Mailing address

9951 Mickelberry Rd NW
Suite 101
Silverdale, WA 98383
Phone (360) 692-9362

National Provider Directory

National Provider Directory

Locations

9951 Mickelberry Rd NW
Ste 101
Silverdale, WA 98383
Phone (360) 475-3729

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26189/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1982778650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9951 MICKELBERRY RD NW",
            "address_2": "SUITE 101",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "98383",
            "telephone_number": "360-692-9362",
            "fax_number": "360-692-6214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9951 MICKELBERRY RD NW",
            "address_2": "SUITE 101",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "98383",
            "telephone_number": "360-692-9362",
            "fax_number": "360-692-6214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KITSAP CHILDRENS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "VOEGTLEN",
        "authorized_official_first_name": "BARNEY",
        "authorized_official_middle_name": "RUSSEL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "360-692-9362",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silverdale, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.