NORTH KITSAP PEDIATRICS P.S. (NPI# 1730208026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730208026 |
| Entity Type | Organization |
| Organization Name | NORTH KITSAP PEDIATRICS P.S. |
| Practice Address |
20730 Bond Rd Ne #208 Poulsbo WA 98370-9000 |
| Practice Telephone | 3607797337 |
| Practice Fax Number | 3607797054 |
| Mailing Telephone | 3607797337 |
| Mailing Fax Number | 3607797054 |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2008-07-08 |
| Authorized Official Name | DR. BERNIE JAY BROWN (OWNER) |
| Authorized Official Telephone | 3607797337 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | OP00000700 | WA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1072347 | 05 |
| Street Address |
20730 BOND RD NE #208 |
| City | POULSBO |
| State | WA |
| Zip Code | 98370-9000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629176524 | Peter V Ciani | Family Medicine | 20730 Bond Rd Ne, Ste 205, Poulsbo, WA 98370-9000 | 2006-09-21 |
| 1427102516 | Ann L Weiss | Physician Assistant | 20730 Bond Rd Ne, Poulsbo, WA 98370-9000 | 2007-01-23 |
| 1447301221 | Carol Ann Simon-kranz | Counselor | 20730 Bond Rd Ne, Suite 200, Poulsbo, WA 98370-9000 | 2007-01-16 |
| 1437227162 | Robert V Bethel | Family Medicine | 20730 Bond Rd Ne, Ste 205, Poulsbo, WA 98370-9000 | 2006-12-01 |
| 1912079963 | Bernie Jay Brown | Pediatrics | 20730 Bond Rd Ne, #208, Poulsbo, WA 98370-9000 | 2006-11-14 |
| 1649342692 | Wendy Zeeben Hawley | Pediatrics | 20730 Bond Rd Ne, #208, Poulsbo, WA 98370-9000 | 2006-11-14 |
| 1336211341 | Linda Diane Swartz | Psychiatry & Neurology | 20730 Bond Rd Ne, Suite 201, Poulsbo, WA 98370-9000 | 2006-11-14 |
| 1376613000 | R Scott Puhn Dds Ps | Dentist | 20730 Bond Rd Ne, Suite 202b, Poulsbo, WA 98370 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790324010 | Francie Corinn Edens | Massage Therapist | 225 Nw Lindvig Way Suite# 6, Poulsbo, WA 98370 | 2020-01-03 |
| 1972155679 | Marcela Serocki | Massage Therapist | 18657 Wa-305, Suite 4, Poulsbo, WA 98370 | 2019-07-12 |
| 1508425943 | Ryan Brinton | Physical Therapist | Kitsap Physical Therapy and Sports Clinics, 19319 7th Ave Ne Ste 108, Poulsbo, WA 98370 | 2019-06-10 |
| 1598220816 | Naomi Whitney Orong | Massage Therapist | 19068 Nw Jenson Way, Suite 4b, Poulsbo, WA 98370 | 2019-02-01 |
| 1043774953 | Maryanne Phillips Bellman | Physical Therapist | 442 Viewmont Ave, Poulsbo, WA 98370 | 2019-01-24 |
| 1285102293 | Andrea Sander | Registered Nurse | 19883 12th Ave Ne, Poulsbo, WA 98370 | 2018-11-07 |
| 1376038281 | Sharon Renay Christor | Nurse Practitioner | 19160 Front St. Ne, Poulsbo, WA 98370 | 2018-06-25 |
| 1700304334 | Samantha Przybylek Gavinski | Nurse Practitioner | 19500 10th Ave Ne Suite 100, Poulsbo, WA 98370 | 2017-09-04 |
| 1285164327 | Johanna Taylor | Behavior Technician | 21786 Windmill Loop Nw, Poulsbo, WA 98370 | 2017-06-12 |
| 1568990554 | Eva Geurtsen | Physical Therapy Assistant | 19160 Front St, Poulsbo, WA 98370 | 2017-06-02 |
| Find all providers in zip 98370 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063803153 | Amy Patawaran | Specialist | 18657 State Highway 305 Ne Ste 4, Poulsbo, WA 98370-9184 | 2015-02-10 |
| 1487064044 | Lacey M Collins | Specialist | 17012 Peterson Way Ne, Poulsbo, WA 98370-8706 | 2014-05-05 |
| 1427471226 | Carly Lord | Specialist | 19045 State Highway 305 Ne Ste 190, Poulsbo, WA 98370-7312 | 2014-01-29 |
| 1508163742 | Sherry A Stanley | Specialist | 21877 Max William Pl Ne, Poulsbo, WA 98370-9163 | 2011-02-24 |
| 1194967125 | Claudette Meno | Specialist | 19045 State Highway 305 Ne Ste 203, Poulsbo, WA 98370-8781 | 2009-04-06 |
| 1417090085 | Linda D Swartz Md Inc | Specialist | 20730 Bond Rd Ne Ste 201, Poulsbo, WA 98370-9000 | 2007-02-14 |
| 1285771451 | Jennifer S. Wiegand | Specialist | 19063 12th Ave Ne, Poulsbo, WA 98370-7334 | 2007-01-30 |
| 1821170895 | Michael C Jungkeit | Specialist | 22180 Olympic College Way Ste 202, Poulsbo, WA 98370-6664 | 2006-10-19 |
| 1083600480 | Lois Bresaw Md Inc Ps | Specialist | 20700 Bond Rd Ne Bldg B, Poulsbo, WA 98370-9099 | 2005-09-21 |
| 1306226436 | Maja Nelson | Specialist | 19045 State Highway 305 Ne, Ste 190, Poulsbo, WA 98370-7311 | 2015-06-03 |
| Find all providers in POULSBO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.