Individual provider Active NPI

Steven G Colwell, CPO BOCO LPO

  • Prosthetics Case Management
  • Kenmore, WA
National Provider Identifier
1245675719
Registry record updated May 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetics Case ManagementTaxonomy code 1744P3200X
License
00000161 Issued in WA
Practice address
6509 NE 181St St
Kenmore, WA 98028-4801
Phone
(206) 440-1811
Fax
(425) 488-3025
NPI assigned
May 9, 2013
Last updated
May 9, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 00000160 WA
Prosthetics Case Management 1744P3200X 00000161 WA Primary

Addresses

Primary practice location

6509 NE 181St St
Kenmore, WA 98028-4801

Mailing address

6509 NE 181St St
Kenmore, WA 98028-4801
Phone (206) 440-1811

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
00000160WAMDSpecialist
00000161WAMDProsthetics Case Management

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1368057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368057600000",
    "number": "1245675719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6509 NE 181ST ST",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "980284801",
            "telephone_number": "206-440-1811",
            "fax_number": "425-488-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6509 NE 181ST ST",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "980284801",
            "telephone_number": "206-440-1811",
            "fax_number": "425-488-3025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLWELL",
        "first_name": "STEVEN",
        "middle_name": "G",
        "credential": "CPO BOCO LPO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-09",
        "last_updated": "2013-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "00000160",
            "primary": false
        },
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "WA",
            "license": "00000161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenmore, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.