Individual provider Active NPI

Alexis A McKeown, DPM

  • Podiatrist
  • Seattle, WA
National Provider Identifier
1700108651
Registry record updated Oct 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO60295566 Issued in WA
Practice address
1950 Alaskan Way 526
Seattle, WA 98101-1078
Phone
(404) 210-5620
NPI assigned
Feb 19, 2010
Last updated
Oct 13, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO60295566 WA Primary

Addresses

Primary practice location

1950 Alaskan Way 526
Seattle, WA 98101-1078

Mailing address

1950 Alaskan Way 526
Seattle, WA 98101-1078
Phone (404) 210-5620

Other identifiers 1

IdentifierTypeStateIssuer
P01099024OtherRAILROAD MEDICARE PTAN

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
I20120918000955 WA Practitioner - Podiatry 2466600358 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6031 California Ave SW
Unit a
Seattle, WA 98136-1992
Phone (206) 707-9112

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue171
Removal or shaving of skin growth73

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO60295566WAMDPodiatrist

Organizations & group practices 1

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": "1266537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444694400000",
    "number": "1700108651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 ALASKAN WAY 526",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011078",
            "telephone_number": "404-210-5620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 ALASKAN WAY 526",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011078",
            "telephone_number": "404-210-5620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKEOWN",
        "first_name": "ALEXIS",
        "middle_name": "A",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-19",
        "last_updated": "2015-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WA",
            "license": "PO60295566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "P01099024",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.