Woodinville Foot and Ankle Clinic, PLLC

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

Legal business name

WOODINVILLE FOOT AND ANKLE CLINIC, PLLC

Doing business as

Lake Washington Foot and Ankle Clinic

Practice address

6610 NE 181St St Ste 4
Kenmore, WA 98028-4867

Phone

(425) 892-8054

Fax

(425) 419-4379

NPI assigned

Feb 27, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Vinai Prakash, DPM

Title

Owner

Phone

(425) 892-8054

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lake Washington Foot and Ankle Clinic Doing business as

Locations

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

{
    "created_epoch": "1551225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551225600000",
    "number": "1164989026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6610 NE 181ST ST STE 4",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "980284867",
            "telephone_number": "425-892-8054",
            "fax_number": "425-419-4379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6610 NE 181ST ST STE 4",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "980284867",
            "telephone_number": "425-892-8054",
            "fax_number": "425-419-4379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODINVILLE FOOT AND ANKLE CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-27",
        "last_updated": "2019-02-27",
        "status": "A",
        "authorized_official_last_name": "PRAKASH",
        "authorized_official_first_name": "VINAI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-892-8054",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2117824",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Washington Foot and Ankle Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Whitehead, ND, LMP
• Kimberly Ann Wilson, LMP
• Hannah Winge, ND
• Jessica Dolores Wolfrum, LMP
• Rosemary Wood, N.D.
• Patricia Claire Wreford-Brown, PA-C
• Chuyue Yang
• Chunhong Yu
• Eileen Zayas-Montilla
• Marcus Aaron Zeitz

• Podiatric Clinic/Center in Kenmore, WA
• Providers in Kenmore, WA by specialty
• Podiatric Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; 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.