Active NPI
W. Kirk McAnlis, ATC, LAT
- Athletic Trainer
- Edmonds, WA
National Provider Identifier
1396254033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- A160076267
- Practice address
- 7911 220TH St SW
Edmonds, WA 98026-7979 - Phone
- (206) 349-7564
- NPI assigned
- Sep 26, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | A160076267 | Primary |
Addresses
Primary practice location
7911 220TH St SW
Edmonds, WA 98026-7979
Mailing address
7911 220TH St SW
Edmonds, WA 98026-7979
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110202258 | Other | BOC |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1506384000000",
"number": "1396254033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7911 220TH ST SW",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980267979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7911 220TH ST SW",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980267979",
"telephone_number": "206-349-7564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCANLIS",
"first_name": "W.",
"middle_name": "KIRK",
"credential": "ATC, LAT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-09-26",
"last_updated": "2017-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": "A160076267",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOC",
"identifier": "110202258",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Edmonds, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.