NPIMap

Organization Active NPI

Nordstrom Inc & Subsidiaries

  • Prosthetic/Orthotic Supplier
  • Honolulu, HI
National Provider Identifier
1386820082
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
1519 Kapiolani Blvd
Honolulu, HI 96814-4506
Phone
(808) 953-6100
NPI assigned
Jan 14, 2008
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

1519 Kapiolani Blvd
Honolulu, HI 96814-4506

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 HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930061474 HI DME Supplier - Department StoreDME Supplier - Prosthetic Personnel 4486772738 Practice locations: Honolulu, HI

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

1519 Kapiolani Blvd
Honolulu, HI 96814
Phone (808) 953-6100

NPI Registry JSON

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434499200000",
    "number": "1386820082",
    "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": "1519 KAPIOLANI BLVD",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144506",
            "telephone_number": "808-953-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORDSTROM INC & SUBSIDIARIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-14",
        "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 Honolulu, HI

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.