Alice Stride, CPO

Primary specialty

ProsthetistTaxonomy code 224P00000X

License

PS00000117 Issued in WA

Practice address

1520 Roosevelt Ave
Suite 105
Mount Vernon, WA 98273-2685

Phone

(360) 416-6505

Fax

(360) 416-8241

NPI assigned

Apr 30, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1272585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319155200000",
    "number": "1639496599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 44TH ST SE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982032200",
            "telephone_number": "425-339-2559",
            "fax_number": "425-339-1583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 ROOSEVELT AVE",
            "address_2": "SUITE 105",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982732685",
            "telephone_number": "360-416-6505",
            "fax_number": "360-416-8241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRIDE",
        "first_name": "ALICE",
        "credential": "CPO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-30",
        "last_updated": "2011-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "WA",
            "license": "OI00000116",
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "WA",
            "license": "PS00000117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Stewart
• Robert B. Stewart, MD
• Kenneth Irwin Stone, MD
• Elise Mae Strachila, MA
• Abbey Stratton
• Allison Strong, MD
• Darlene Stuber
• Mark A Studley, MD
• Dana Sturtz, DPT, GCS
• Ashoka Subedar, DMD

• Prosthetist in Mount Vernon, WA
• Providers in Mount Vernon, WA by specialty
• Prosthetist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.