NPIMap

Organization Active NPI

Nordstrom Inc & Subsidiaries

  • Prosthetic/Orthotic Supplier
  • King of Prussia, PA
National Provider Identifier
1295751683
Registry record updated Jun 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
NORDSTROM INC & SUBSIDIARIES
Practice address
190 N Gulph Rd
King of Prussia, PA 19406-2932
Phone
(610) 265-6111
NPI assigned
Jul 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2015

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

Authorized official

Name
Kresha B Britton
Title
Prosthesis Office Manager
Phone
(206) 454-4060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

190 N Gulph Rd
King of Prussia, PA 19406-2932

Mailing address

1617 6TH Ave
Attn: Prosthesis
Seattle, WA 98101-1707
Phone (206) 454-4060

Other names 1

  • Nordstrom Inc Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930001369 PA DME Supplier - Department Store 4486772738 Practice locations: King of Prussia, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Nordstrom Inc & Subsidiaries190 N Gulph Rd, King of Prussia, PA 19406-2932(610) 265-6111 Breast Prostheses and/or Accessories Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory
Tax ID family
Nordstrom 3242 organizations share this tax ID, including this one

Other organizations with this tax ID 41

Organizations that report the same tax identification number in the National Provider Directory.

View all 41

Locations

190 N Gulph Rd
King of Prussia, PA 19406
Phone (610) 265-6111

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434499200000",
    "number": "1295751683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 6TH AVE",
            "address_2": "ATTN: PROSTHESIS",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011707",
            "telephone_number": "206-454-4060",
            "fax_number": "206-454-1279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 N GULPH RD",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194062932",
            "telephone_number": "610-265-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORDSTROM INC & SUBSIDIARIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2015-06-17",
        "status": "A",
        "authorized_official_last_name": "BRITTON",
        "authorized_official_first_name": "KRESHA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PROSTHESIS OFFICE MANAGER",
        "authorized_official_telephone_number": "206-454-4060"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nordstrom Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in King of Prussia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.