Three Rivers Foot and Ankle Clinic, LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

PO00000810 Issued in WA

Legal business name

THREE RIVERS FOOT AND ANKLE CLINIC, LLC

Practice address

1712 Allen St
Kelso, WA 98626-4907

Phone

(360) 261-0965

NPI assigned

Aug 15, 2006

Organization subpart

No

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

Authorized official

Name

Jared Keith Remmers, DPM

Title

President

Phone

(360) 261-0965

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114030236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 ALLEN ST",
            "city": "KELSO",
            "state": "WA",
            "postal_code": "986264907",
            "telephone_number": "360-261-0965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 ALLEN ST",
            "city": "KELSO",
            "state": "WA",
            "postal_code": "986264907",
            "telephone_number": "360-261-0965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE RIVERS FOOT AND ANKLE CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REMMERS",
        "authorized_official_first_name": "JARED",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-261-0965",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WA",
            "license": "PO00000810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helen Pauline Stout, BA,CAAR
• Mary Kathleen Sullivan, M.A.
• Mindy Lorraine Taitano
• Larry James Tedder, CDP
• Three Rivers Eye Care, PS
• Thrifty Payless Inc
• Timothy Tivey
• Stephanie Toms
• Jessica Lucile Tracy, LPN
• Taylor Trevino, RPH

• Foot & Ankle Surgery Podiatrist in Kelso, WA
• Providers in Kelso, WA by specialty
• Foot & Ankle Surgery Podiatrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.