Individual provider Active NPI

Sara A Waversveld, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Tacoma, WA
National Provider Identifier
1629266093
Registry record updated Feb 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO60088821 Issued in WA
Practice address
316 Martin Luther King Jr Way
#201
Tacoma, WA 98405-4252
Phone
(253) 403-7002
Fax
(253) 403-7001
NPI assigned
Oct 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO60088821 WA
Foot & Ankle Surgery Podiatrist 213ES0103X PO60088821 WA Primary

Addresses

Primary practice location

316 Martin Luther King Jr Way
#201
Tacoma, WA 98405-4252

Mailing address

316 Martin Luther King Jr Way
#201
Tacoma, WA 98405-4252
Phone (253) 403-7002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100817001326 WA Practitioner - Podiatry 7214061944 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System CurrentSince Jul 1, 2010 Accepting new patients
Multicare Health System Current Accepting new patients
Multicare Health System CurrentSince Jul 1, 2010 Accepting new patients
Multicare Health System Podiatrist Past Accepting new patients
Multicare Health System Past Accepting new patients

Locations

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

316 S K St
Tacoma, WA 98405
Phone (253) 403-1375

316 S K St
Ste 201
Tacoma, WA 98405
Phone (253) 383-4404

3124 S 19th St
Ste 340
Tacoma, WA 98405
Phone (253) 459-7000

Interoperability endpoints

  • Direct secure messaging: swaversvelddpm7223@direct.multicare.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328486400000",
    "number": "1629266093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 MARTIN LUTHER KING JR WAY",
            "address_2": "#201",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984054252",
            "telephone_number": "253-403-7002",
            "fax_number": "253-403-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 MARTIN LUTHER KING JR WAY",
            "address_2": "#201",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984054252",
            "telephone_number": "253-403-7002",
            "fax_number": "253-403-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAVERSVELD",
        "first_name": "SARA",
        "middle_name": "A",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-10",
        "last_updated": "2012-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WA",
            "license": "PO60088821",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WA",
            "license": "PO60088821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.