Northwest Foot & Ankle Associates, P.S.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

NORTHWEST FOOT & ANKLE ASSOCIATES, P.S.

Practice address

1545 NE 65TH St
Seattle, WA 98115-6800

Phone

(206) 528-0100

Fax

(206) 528-2112

NPI assigned

Apr 2, 2007

Organization subpart

Yes

Parent organization

NORTHWEST FOOT AND ANKLE ASSOCIATESAs reported in NPPES

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

Authorized official

Name

Cheryl Ann Moore

Title

Billing Manager

Phone

(425) 775-1505

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Active Foot & Ankle Doing business as

Part of

Northwest Foot Ankle Assoc

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelly Jean Hall, DPM

  • Podiatrist
  • Bothell, WA
  • NPI 1205932191
  NPD (past)

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387497600000",
    "number": "1093836652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21229 84TH AVE W",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267304",
            "telephone_number": "425-775-1505",
            "fax_number": "425-775-9078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 NE 65TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981156800",
            "telephone_number": "206-528-0100",
            "fax_number": "206-528-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST FOOT & ANKLE ASSOCIATES, P.S.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHWEST FOOT AND ANKLE ASSOCIATES",
        "enumeration_date": "2007-04-02",
        "last_updated": "2013-12-20",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "425-775-1505"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE CERTIFICATION NUMBER",
            "identifier": "50-C0001166",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Active Foot & Ankle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Northwest Family Life
• Northwest Family Life Learning and Counseling Center
• Northwest Family Practice
• Northwest Family Therapy PLLC
• Northwest First Assists
• Northwest Foot & Ankle Associates, P.S.
• Northwest Glaucoma and Cataract Consultants LLC
• Northwest Glaucoma and Cataract Consultants, LLC
• Northwest Homecare & Staffing Services, LLC
• Northwest Hospital

• Ambulatory Surgical Clinic/Center in Seattle, WA
• Providers in Seattle, WA by specialty
• Ambulatory Surgical Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2013; 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.