Active NPI
Kitsap Childrens Clinic
- Pediatrics Physician
- Silverdale, WA
National Provider Identifier
1982778650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
9951 Mickelberry Rd NW
Ste 101
Silverdale, WA 98383
Phone (360) 475-3729
Interoperability endpoints
- 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.
-
- Pediatrics Physician
- Silverdale, WA
- NPI 1437183142
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.