NPIMap

Organization Active NPI

Hansen Foot and Ankle LLC

  • Foot & Ankle Surgery Podiatrist
  • Mill Creek, WA
National Provider Identifier
1497276513
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO60714901 Issued in WA
Legal business name
HANSEN FOOT AND ANKLE LLC
Practice address
16030 Bothell Everett Hwy Ste 160
Mill Creek, WA 98012-1794
Phone
(425) 537-3777
Fax
(425) 407-5502
NPI assigned
Jun 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2023

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

Authorized official

Name
Diana Salazar
Title
Director of Operations
Phone
(425) 537-3777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X PO60714901 WA Primary

Addresses

Primary practice location

16030 Bothell Everett Hwy Ste 160
Mill Creek, WA 98012-1794

Mailing address

16030 Bothell Everett Hwy Ste 160
Mill Creek, WA 98012-1794
Phone (425) 537-3777

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170907003517 WA Part B Supplier - Clinic/Group Practice 2860765138 Receives reassigned benefits from 2 practitioners
Practice locations: Mill Creek, WA

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26643/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682985600000",
    "number": "1497276513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16030 BOTHELL EVERETT HWY STE 160",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980121794",
            "telephone_number": "425-537-3777",
            "fax_number": "425-407-5502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16030 BOTHELL EVERETT HWY STE 160",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980121794",
            "telephone_number": "425-537-3777",
            "fax_number": "425-407-5502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANSEN FOOT AND ANKLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-28",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A",
        "authorized_official_last_name": "SALAZAR",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "425-537-3777"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WA",
            "license": "PO60714901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mill Creek, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; 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.