Individual provider Active NPI

Cathy L Thosath, DPM

  • Podiatrist
  • Woodinville, WA
National Provider Identifier
1104905553
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO00000410 Issued in WA
Practice address
19309 218TH PL NE
Woodinville, WA 98077-7112
Phone
(425) 788-1484
Fax
(425) 788-2024
NPI assigned
Nov 6, 2006
Last updated
May 2, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO00000410 WA Primary

Addresses

Primary practice location

19309 218TH PL NE
Woodinville, WA 98077-7112

Mailing address

PO Box 1786
Duvall, WA 98019-1786
Phone (425) 788-1484

Other identifiers 1

IdentifierTypeStateIssuer
7083165MedicaidWA

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO00000410WAMDPodiatrist

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209686400000",
    "number": "1104905553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1786",
            "city": "DUVALL",
            "state": "WA",
            "postal_code": "980191786",
            "telephone_number": "425-788-1484",
            "fax_number": "425-788-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19309 218TH PL NE",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980777112",
            "telephone_number": "425-788-1484",
            "fax_number": "425-788-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOSATH",
        "first_name": "CATHY",
        "middle_name": "L",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2008-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WA",
            "license": "PO00000410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7083165",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodinville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; 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.