Organization Active NPI

Sarah Neitzel, DPM, PLLC

  • Foot & Ankle Surgery Podiatrist
  • Silverdale, WA
National Provider Identifier
1023405867
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
SARAH NEITZEL, DPM, PLLC
Practice address
2416 NW Myhre Rd
Suite 160
Silverdale, WA 98383
Phone
(360) 286-0404
Fax
(360) 859-0333
NPI assigned
Apr 20, 2015
Last updated
Sep 22, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

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

Authorized official

Name
Sarah Neitzel, DPMNPI 1700228988
Title
Manager
Phone
(360) 286-0404

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X Primary

Addresses

Primary practice location

2416 NW Myhre Rd
Suite 160
Silverdale, WA 98383

Mailing address

2416 NW Myhre Rd
Suite 160
Silverdale, WA 98383
Phone (360) 286-0404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150710000378 WA Part B Supplier - Clinic/Group Practice 9638481203 Receives reassigned benefits from 1 practitioner
Practice locations: Silverdale, WA

National Provider Directory

National Provider Directory

Locations

1001 NE Riddell Rd
Bremerton, WA 98310
Phone (360) 373-2225

2416 NW Myhre Rd
Ste 101
Silverdale, WA 98383
Phone (360) 286-0404

2416 NW Myhre Rd
Ste 160
Silverdale, WA 98383
Phone (360) 286-0404

Practitioners & affiliated clinicians

Practitioners 2

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": "1429488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663804800000",
    "number": "1023405867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2416 NW MYHRE RD",
            "address_2": "SUITE 160",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "98383",
            "telephone_number": "360-286-0404",
            "fax_number": "360-859-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2416 NW MYHRE RD",
            "address_2": "SUITE 160",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "98383",
            "telephone_number": "360-286-0404",
            "fax_number": "360-859-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARAH NEITZEL, DPM, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-20",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A",
        "authorized_official_last_name": "NEITZEL",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "360-286-0404",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "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 Sep 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.