Active NPI
Alexandra M Gates, CPO
- Prosthetist
- Spokane Valley, WA
National Provider Identifier
1093310575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- License
- PS60220933
- Practice address
- 1424 N McDonald Rd Ste 201
Spokane Valley, WA 99216-6017 - Phone
- (509) 926-1403
- Fax
- (509) 926-1404
- NPI assigned
- Dec 2, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | OI60220931 | WA | |
| Prosthetist | 224P00000X | PS60220933 | WA | Primary |
Addresses
Primary practice location
1424 N McDonald Rd Ste 201
Spokane Valley, WA 99216-6017
Mailing address
8880 SW Nimbus Ave Ste a
Beaverton, OR 97008-7111
Phone (503) 765-5081
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OI60220931 | WA | MD | Orthotist |
| PS60220933 | WA | MD | Prosthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606867200000",
"number": "1093310575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8880 SW NIMBUS AVE STE A",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970087111",
"telephone_number": "503-765-5081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1424 N MCDONALD RD STE 201",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992166017",
"telephone_number": "509-926-1403",
"fax_number": "509-926-1404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GATES",
"first_name": "ALEXANDRA",
"middle_name": "M",
"credential": "CPO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-02",
"last_updated": "2020-12-02",
"certification_date": "2020-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "WA",
"license": "OI60220931",
"primary": false
},
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": "WA",
"license": "PS60220933",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spokane Valley, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.