Kelly Jean Hall, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PO00000617 Issued in WA

Practice address

12900 NE 180TH St Ste 150
Bothell, WA 98011-5778

Phone

(206) 365-5484

Fax

(206) 365-5714

NPI assigned

Sep 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

California School of Podiatric Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kelly.hall.1@31413.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Northwest Foot and Ankle Specialists, LLC

  • Podiatrist
  • Bothell, WA
  • NPI 1790337194
  Medicare reassignment NPD Authorized official
• Northwest Foot & Ankle Associates, P.S.

  • Ambulatory Surgical Clinic/Center
  • Seattle, WA
  • NPI 1093836652
  NPD (past)

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1205932191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12900 NE 180TH ST STE 150",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980115778",
            "telephone_number": "206-365-5484",
            "fax_number": "206-365-5714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12900 NE 180TH ST STE 150",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980115778",
            "telephone_number": "206-365-5484",
            "fax_number": "206-365-5714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "KELLY",
        "middle_name": "JEAN",
        "name_prefix": "Miss",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WA",
            "license": "PO00000617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1106699",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5815682",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "HA0967",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cheryl Green Hajek, M.D.
• Shawna Lynn Hale
• Nina Haley, NBC-HWC
• Eric Hall
• Jana Ruth Hall, CDP
• Anna Teri Hallmark, LMP
• Jamie Ham, DO
• Amanda Angela Hamilton
• Alexander M Hamling, MD
• Grace Hamlow

• Podiatrist in Bothell, WA
• Providers in Bothell, WA by specialty
• Podiatrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.