Organization Active NPI

Pacific Mobile Foot Care PLLC

  • Podiatric Clinic/Center
  • Bothell, WA
National Provider Identifier
1679225478
Registry record updated Jan 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
Legal business name
PACIFIC MOBILE FOOT CARE PLLC
Practice address
10922 NE 151St St
Bothell, WA 98011-4831
Phone
(425) 255-3666
Fax
(425) 728-6893
NPI assigned
Jan 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2022

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

Authorized official

Name
Deborah Christensen, ARNP
Title
Owner/Employee
Phone
(425) 255-3666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X Primary

Addresses

Primary practice location

10922 NE 151St St
Bothell, WA 98011-4831

Mailing address

10922 NE 151St St
Bothell, WA 98011-4831
Phone (425) 255-3666

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1642809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642809600000",
    "number": "1679225478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10922 NE 151ST ST",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980114831",
            "telephone_number": "425-255-3666",
            "fax_number": "425-728-6893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10922 NE 151ST ST",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980114831",
            "telephone_number": "425-255-3666",
            "fax_number": "425-728-6893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC MOBILE FOOT CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-22",
        "last_updated": "2022-01-22",
        "certification_date": "2022-01-20",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "OWNER/EMPLOYEE",
        "authorized_official_telephone_number": "425-255-3666",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bothell, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2022; 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.