Sandi C Nagata, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

PO60335854 Issued in WA

Practice address

3500 188TH St SW
Suite 110
Lynnwood, WA 98037-4716

Phone

(425) 778-5666

Fax

(425) 771-5374

NPI assigned

Jan 23, 2009

Last updated

Nov 24, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

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

Specialty

Podiatry

Education

Temple University School of Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alderwood Ankle and Foot Clinic PSGroup PAC ID 5698665784, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Swedish Edmonds Hospital Hospital, Edmonds, WA, CCN 500026

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Alderwood Ankle & Foot Clinic P.S.

  dba Lake Stevens Ankle & Foot Clinic

  • Podiatric Clinic/Center
  • Lynnwood, WA
  • NPI 1609065713

  Foot & Ankle Surgery

  Medicare reassignment Care Compare group NPD
• Alderwood Ankle & Foot Clinic P.S.

  dba Lake Stevens Ankle and Foot Clinic

  • Foot & Ankle Surgery Podiatrist
  • Lake Stevens, WA
  • NPI 1942967393
  NPD
• For Feet Sake Podiatry Group, Inc.

  • Podiatrist
  • Tracy, CA
  • NPI 1811921851

  Foot & Ankle Surgery

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Swedish Edmonds

  • General Acute Care Hospital
  • Edmonds, WA
  • NPI 1033107214
  Care Compare affiliation
• Swedish Edmonds

  • Clinical Medical Laboratory
  • Edmonds, WA
  • NPI 1699894022

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1232668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416787200000",
    "number": "1700024023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 188TH ST SW",
            "address_2": "SUITE 110",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980374716",
            "telephone_number": "425-778-5666",
            "fax_number": "425-771-5374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 188TH ST SW",
            "address_2": "SUITE 110",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980374716",
            "telephone_number": "425-778-5666",
            "fax_number": "425-771-5374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGATA",
        "first_name": "SANDI",
        "middle_name": "C",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-23",
        "last_updated": "2014-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4926",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC005993",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MD",
            "license": "LL9523",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WA",
            "license": "PO60335854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Murray, M.A., BCBA, LBA
• Kirk Vincent Myers, DO
• Myopathic Muscular Therapy Clinic, Inc.
• N. Karimi, DDS, P.C.
• Jonathan Paul Naatz, MD
• Naghmeh J Izadi, DMD
• Beth Nagy, M.A., CCC-SLP
• Salona Naicker
• Greg I Nakamoto, MD
• Vira Nalyvaiko

• Foot & Ankle Surgery Podiatrist in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• Foot & Ankle Surgery Podiatrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.