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Kristen M Childress

Nurse Practitioner - Adult Health Nurse Practitioner - Family Medicine

2431 Anderson Ave
Port Orchard , Washington 98366-1302

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Kristen M Childress

Nurse Practitioner - Adult Health Nurse Practitioner - Family Medicine

2431 Anderson Ave
Port Orchard , Washington 98366-1302

(360) 876-0878

Write a Review Save Call

Kristen M Childress

Nurse Practitioner - Adult Health Nurse Practitioner - Family Medicine

2431 Anderson Ave
Port Orchard , Washington 98366-1302

(360) 876-0878 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Nurse Practitioner - Adult Health
  • Nurse Practitioner - Family Medicine

Languages spoken

  • English

Location

2431 Anderson Ave Port Orchard , Washington 98366-1302

First Address

  • Kristen M Childress
  • 4810 Point Fosdick Dr Nw Pmb 27
  • Gig Harbor, WA
  • Zip : 98335-1711
  • Fax : (360) 876-0878
  • Phone : (360) 710-3319

Second Address

  • Kristen M Childress
  • 2431 Anderson Ave
  • Port Orchard, WA
  • Zip : 98366-1302
  • Fax : (360) 876-0878
  • Phone : (360) 710-3319

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FAQs


Where did Kristen M Childress attend graduate school?

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Where did Kristen M Childress do her residency?

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Where did Kristen M Childress do her fellowship?

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Is Kristen M Childress board certified?

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What type of doctor is Kristen M Childress

Nurse Practitioner - Family Medicine

In what state does Kristen M Childress practice in?

Washington

Where is Kristen M Childress ’s practice located?

2431 Anderson Ave , Port Orchard, Washington, 98366-1302

What is Kristen M Childress ’s gender?

Female

Is Kristen M Childress a sole practitioner?

No

Is Kristen M Childress accepting new patients?

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What languages does Kristen M Childress speak?

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Does Kristen M Childress accept insurance?

Yes, Kristen M Childress accepts insurance

Does Kristen M Childress offers telemedicine?

Kristen M Childress has not indicated if she offers telemedicine

What is Kristen M Childress ’s professional license number?

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What is Kristen M Childress ’s NPI number?

1003952870

Does Kristen M Childress have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 363LA2200X Nurse Practitioner - Adult Health RN00138087 WA
Y 363LF0000X Nurse Practitioner - Family Medicine AP30006700 WA

National Provider Identifier

NPI 1003952870
Provider Name Kristen M Childress
First Address Gig Harbor, WA 98335-1711
Second Address Port Orchard, WA 98366-1302
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 29/01/2007
Last Update Date 10/02/2014

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
0225388 STATE L & I (01) WA
0258710 STATE L & I (01) WA
Q64800 (02) WA

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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