Active NPI
Ankle & Foot Clinic, PS
- Podiatrist
- Vancouver, WA
National Provider Identifier
1285823005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PO00000402
- Legal business name
- ANKLE & FOOT CLINIC, PS
- Practice address
- 416 NE 87TH Ave
Ste #2
Vancouver, WA 98664-1930 - Phone
- (360) 256-1777
- Fax
- (360) 696-4287
- NPI assigned
- Oct 17, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Denice L Nolan
- Title
- Office Manager
- Phone
- (360) 256-1777
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | PO00000402 | WA | Primary |
Addresses
Primary practice location
416 NE 87TH Ave
Ste #2
Vancouver, WA 98664-1930
Mailing address
416 NE 87TH Ave
Ste #2
Vancouver, WA 98664-1930
Phone (360) 256-1777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7113566 | Medicaid | WA |
National Provider Directory
National Provider DirectoryLocations
102 W Fourth Plain Blvd
#B
Vancouver, WA 98660
Phone (360) 696-4400
102 W Fourth Plain Blvd
Ste A
Vancouver, WA 98660
Phone (360) 696-4431
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Primary Podiatric Medicine Podiatrist
- Vancouver, WA
- NPI 1942206891
-
- Podiatrist
- Vancouver, WA
- NPI 1790721827
-
- Certified Registered Nurse Anesthetist
- Tualatin, OR
- NPI 1215964622
-
- Certified Registered Nurse Anesthetist
- Silverton, OR
- NPI 1790730059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192579200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1200528000000",
"number": "1285823005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "416 NE 87TH AVE",
"address_2": "STE #2",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986641930",
"telephone_number": "360-256-1777",
"fax_number": "360-696-4287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "416 NE 87TH AVE",
"address_2": "STE #2",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986641930",
"telephone_number": "360-256-1777",
"fax_number": "360-696-4287"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANKLE & FOOT CLINIC, PS",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-17",
"last_updated": "2008-01-17",
"status": "A",
"authorized_official_last_name": "NOLAN",
"authorized_official_first_name": "DENICE",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "360-256-1777"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "WA",
"license": "PO00000402",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7113566",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.