Individual provider Active NPI

Colyn Nouv, DPM

  • Foot & Ankle Surgery Podiatrist
  • Snoqualmie, WA
National Provider Identifier
1073931747
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO60721876 Issued in WA
Practice address
34627 SE Swenson Dr Ste 101
Snoqualmie, WA 98065-5199
Phone
(510) 283-1932
NPI assigned
Mar 31, 2014
Last updated
Oct 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO60721876 WA Primary

Addresses

Primary practice location

34627 SE Swenson Dr Ste 101
Snoqualmie, WA 98065-5199

Mailing address

34627 SE Swenson Dr Ste 101
Snoqualmie, WA 98065-5199
Phone (425) 434-4851

Other identifiers 1

IdentifierTypeStateIssuer
2082072MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170630001765 WA Practitioner - Podiatry 5294004461 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

34627 SE Swenson Dr
Suite 101
Snoqualmie, WA 98065-5199
Phone (510) 283-1932

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue11
Removal of skin lesions1-10
Removal of nail tissue401
Removal or shaving of skin growth182

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO60721876WAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Colyn Nouv, DPM PLLC CurrentSince Jun 1, 2020 Accepting new patients
Colyn Nouv, DPM PLLC Foot & Ankle Surgery CurrentSince Jun 1, 2020 Accepting new patients

Locations

34627 SE Swenson Dr
Ste 101
Snoqualmie, WA 98065
Phone (510) 283-1932

Interoperability endpoints

  • Direct secure messaging: colyn.nouv.1@21867.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/21867/brand/1/csg/1/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1396224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1073931747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34627 SE SWENSON DR STE 101",
            "city": "SNOQUALMIE",
            "state": "WA",
            "postal_code": "980655199",
            "telephone_number": "425-434-4851",
            "fax_number": "425-414-7032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34627 SE SWENSON DR STE 101",
            "city": "SNOQUALMIE",
            "state": "WA",
            "postal_code": "980655199",
            "telephone_number": "510-283-1932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOUV",
        "first_name": "COLYN",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-31",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WA",
            "license": "PO60721876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2082072",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Snoqualmie, WA

Sources for this page

Verify at the official NPI Registry.