Organization Active NPI

Kirk, Sherris

  • Primary Podiatric Medicine Podiatrist
  • Bainbridge Island, WA
National Provider Identifier
1033424239
Registry record updated Aug 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
PO0000501 Issued in WA
Legal business name
KIRK, SHERRIS
Practice address
6470 NE Marshall Rd
Bainbridge Island, WA 98110-1617
Phone
(206) 819-9605
NPI assigned
Aug 11, 2010
Last updated
Aug 11, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2010

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

Authorized official

Name
Charity Campbell
Title
Credentialing
Phone
(425) 775-1505

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213EP1101X PO0000501 WA Primary
Prosthetic/Orthotic Supplier 335E00000X PO0000501 WA

Addresses

Primary practice location

6470 NE Marshall Rd
Bainbridge Island, WA 98110-1617

Mailing address

6470 NE Marshall Rd
Bainbridge Island, WA 98110-1617
Phone (206) 819-9605

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1281484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281484800000",
    "number": "1033424239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6470 NE MARSHALL RD",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981101617",
            "telephone_number": "206-819-9605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6470 NE MARSHALL RD",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981101617",
            "telephone_number": "206-819-9605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRK, SHERRIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-11",
        "last_updated": "2010-08-11",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "CHARITY",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "425-775-1505"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "WA",
            "license": "PO0000501",
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "WA",
            "license": "PO0000501",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bainbridge Island, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2010; 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.