Organization Active NPI

Coupeville Foot and Ankle Clinic, P.S., Inc.

  • Podiatrist
  • Coupeville, WA
National Provider Identifier
1629161179
Registry record updated Aug 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO00000451 Issued in WA
Legal business name
COUPEVILLE FOOT AND ANKLE CLINIC, P.S., INC.
Practice address
412 N Main St
Coupeville, WA 98239-3416
Phone
(206) 522-6640
Fax
(206) 527-0147
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2009

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

Authorized official

Name
Regina Currier, DPMNPI 1093800682
Title
Owner
Phone
(360) 678-3121

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X PO00000451 WA Primary

Addresses

Primary practice location

412 N Main St
Coupeville, WA 98239-3416

Mailing address

PO Box 1705
Coupeville, WA 98239
Phone (360) 678-3121

Other identifiers 2

IdentifierTypeStateIssuer
9082CUOtherWABLUE CROSS
1062777MedicaidWA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051118000700 WA Part B Supplier - Clinic/Group Practice 8729007729 Receives reassigned benefits from 1 practitioner
Practice locations: Coupeville, WA

National Provider Directory

National Provider Directory

Locations

412 N Main St
#1705
Coupeville, WA 98239

412 N Main St
Coupeville, WA 98239
Phone (360) 678-3121

Practitioners & affiliated clinicians

Practitioners 1

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": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251331200000",
    "number": "1629161179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1705",
            "city": "COUPEVILLE",
            "state": "WA",
            "postal_code": "98239",
            "telephone_number": "360-678-3121",
            "fax_number": "360-678-3186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 N MAIN ST",
            "city": "COUPEVILLE",
            "state": "WA",
            "postal_code": "982393416",
            "telephone_number": "206-522-6640",
            "fax_number": "206-527-0147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUPEVILLE FOOT AND ANKLE CLINIC, P.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2009-08-27",
        "status": "A",
        "authorized_official_last_name": "CURRIER",
        "authorized_official_first_name": "REGINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-678-3121",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "WA",
            "license": "PO00000451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "9082CU",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1062777",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coupeville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2009; 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.