Organization Active NPI

Pacwest Podiatry, PLLC

  • Family Medicine Physician
  • Spokane, WA
National Provider Identifier
1053264762
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PACWEST PODIATRY, PLLC
Practice address
9106 W Rutter Pkwy
Spokane, WA 99208-9210
Phone
(276) 730-5919
NPI assigned
Feb 20, 2026
Organization subpart
Yes
Parent organization
PACWEST HEALTHCARE, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Authorized official

Name
Carrie Burnette, RN, BSN
Title
Chief Operating Officer
Phone
(276) 730-5919

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

9106 W Rutter Pkwy
Spokane, WA 99208-9210

Mailing address

5261 Carrollton Pike Ste a
Woodlawn, VA 24381-3034
Phone (276) 730-5919

National Provider Directory

National Provider Directory

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1771545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780876800000",
    "number": "1053264762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5261 CARROLLTON PIKE STE A",
            "city": "WOODLAWN",
            "state": "VA",
            "postal_code": "243813034",
            "telephone_number": "276-730-5919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9106 W RUTTER PKWY",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992089210",
            "telephone_number": "276-730-5919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACWEST PODIATRY, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PACWEST HEALTHCARE, PLLC",
        "enumeration_date": "2026-02-20",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A",
        "authorized_official_last_name": "BURNETTE",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "276-730-5919",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; 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.