Organization Active NPI

Ankle & Foot Clinics Northwest, PS

  • Foot & Ankle Surgery Podiatrist
  • Everett, WA
National Provider Identifier
1730154584
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
ANKLE & FOOT CLINICS NORTHWEST, PS
Practice address
4924 Chinook Dr
Everett, WA 98203-1376
Phone
(425) 327-6603
NPI assigned
Feb 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

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

Authorized official

Name
Ms. Cheryl T Christensen
Title
Office Manager
Phone
(425) 327-6603

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

4924 Chinook Dr
Everett, WA 98203-1376

Mailing address

4924 Chinook Dr
Everett, WA 98203-1376
Phone (425) 327-6603

Other identifiers 3

IdentifierTypeStateIssuer
7089964MedicaidWA
AN0085OtherWAREGENCE
69527OtherWALABOR & INDUSTRIES

Other names 1

  • Ankle & Foot Clinic of Everett Doing business as

National Provider Directory

National Provider Directory

Locations

3131 Nassau St
Everett, WA 98201

3131 Nassau St
#101
Everett, WA 98201
Phone (425) 339-8888

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673481600000",
    "number": "1730154584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4924 CHINOOK DR",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982031376",
            "telephone_number": "425-327-6603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4924 CHINOOK DR",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982031376",
            "telephone_number": "425-327-6603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANKLE & FOOT CLINICS NORTHWEST, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-22",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "425-327-6603",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7089964",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "AN0085",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "69527",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ankle & Foot Clinic of Everett",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ankle & Foot Clinic of Everett",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; 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.