NPIMap

Organization Active NPI

Fasa Family Wellness, PLLC

  • Foot & Ankle Surgery Podiatrist
  • Olympia, WA
National Provider Identifier
1679025902
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0-000-506-137 Issued in WA
Legal business name
FASA FAMILY WELLNESS, PLLC
Practice address
404 Black Hills LN SW Ste B
Olympia, WA 98502-8148
Phone
(360) 943-1400
Fax
(360) 943-0660
NPI assigned
Nov 3, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Authorized official

Name
Terrence Eugene Hess
Title
Owner
Phone
(360) 754-3338

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X 0-000-506-137 WA Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

404 Black Hills LN SW Ste B
Olympia, WA 98502-8148

Mailing address

PO Box 825159
Philadelphia, PA 19182-5159
Phone (360) 754-3338

Other practice location 1

2964 Limited Ln NW
Suite B
Olympia, WA 98502-4577
Phone (360) 943-1400

Other names 1

  • Foot & Ankle Surgical Associates, PLLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170126000361 WA DME Supplier - Physician - Podiatry 7618290297 Practice locations: Olympia, WA

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Fasa Family Wellness PLLC12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1478131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747094400000",
    "number": "1679025902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 825159",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191825159",
            "telephone_number": "360-754-3338",
            "fax_number": "360-753-4861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 BLACK HILLS LN SW STE B",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985028148",
            "telephone_number": "360-943-1400",
            "fax_number": "360-943-0660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2964 Limited Ln NW",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985024577",
            "country_code": "US",
            "telephone_number": "360-943-1400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FASA FAMILY WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-03",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A",
        "authorized_official_last_name": "HESS",
        "authorized_official_first_name": "TERRENCE",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-754-3338"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WA",
            "license": "0-000-506-137",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foot & Ankle Surgical Associates, PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Foot & Ankle Surgical Associates, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; 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.