Organization Active NPI

Nordstrom Inc & Subsidiaries

  • Prosthetic/Orthotic Supplier
  • Jacksonville, FL
National Provider Identifier
1043619166
Registry record updated Jun 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
NORDSTROM INC & SUBSIDIARIES
Practice address
4835 Town Crossing Drive
Jacksonville, FL 32246-8577
Phone
(904) 672-2200
NPI assigned
Aug 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2015

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

Authorized official

Name
Kresha B Britton
Title
Corporate Prosthesis Office Manager
Phone
(206) 454-4060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

4835 Town Crossing Drive
Jacksonville, FL 32246-8577

Mailing address

1617 6TH Ave
Attn: Prosthesis
Seattle, WA 98101-1707
Phone (206) 454-4060

Other names 1

  • Nordstrom Inc Other name

National Provider Directory

National Provider Directory

Locations

4835 Town Crossing Dr
Jacksonville, FL 32246
Phone (904) 672-2200

NPI Registry JSON

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434585600000",
    "number": "1043619166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 6TH AVE",
            "address_2": "ATTN: PROSTHESIS",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011707",
            "telephone_number": "206-454-4060",
            "fax_number": "206-454-1279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4835 TOWN CROSSING DRIVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322468577",
            "telephone_number": "904-672-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORDSTROM INC & SUBSIDIARIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-14",
        "last_updated": "2015-06-18",
        "status": "A",
        "authorized_official_last_name": "BRITTON",
        "authorized_official_first_name": "KRESHA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CORPORATE PROSTHESIS OFFICE MANAGER",
        "authorized_official_telephone_number": "206-454-4060"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nordstrom Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; 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.