Active NPI
Kim Laverne Felder, DPM
- Foot Surgery Podiatrist
- Seattle, WA
National Provider Identifier
1548292444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- 1181
- Practice address
- 1660 S Columbian Way
S-112-Pod
Seattle, WA 98108-1532 - Phone
- (206) 277-3715
- Fax
- (206) 764-2529
- NPI assigned
- Jul 7, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | 1181 | TX | |
| Sports Medicine Podiatrist | 213ES0000X | 1181 | TX | |
| Foot Surgery Podiatrist | 213ES0131X | 1181 | TX | Primary |
Addresses
Primary practice location
1660 S Columbian Way
S-112-Pod
Seattle, WA 98108-1532
Mailing address
1660 S. Columbian Way
Vapshcs-S-112-Pod
Seattle, WA 98108-1597
Phone (206) 277-3715
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 127187601 | Medicaid | TX |
Other names 1
- Kim L Felder-Johnson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1181 | TX | MD | Sports Medicine Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451347200000",
"number": "1548292444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1660 S. COLUMBIAN WAY",
"address_2": "VAPSHCS-S-112-POD",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981081597",
"telephone_number": "206-277-3715",
"fax_number": "206-764-2529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1660 S COLUMBIAN WAY",
"address_2": "S-112-POD",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981081532",
"telephone_number": "206-277-3715",
"fax_number": "206-764-2529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELDER",
"first_name": "KIM",
"middle_name": "LAVERNE",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-07",
"last_updated": "2015-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "TX",
"license": "1181",
"primary": false
},
{
"code": "213ES0000X",
"taxonomy_group": "",
"desc": "Podiatrist, Sports Medicine",
"state": "TX",
"license": "1181",
"primary": false
},
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "TX",
"license": "1181",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "127187601",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KIM",
"last_name": "FELDER-JOHNSON",
"middle_name": "L",
"credential": "DPM",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.