Active NPI
Ankle & Foot Clinics Northwest, PS
- Foot & Ankle Surgery Podiatrist
- Everett, WA
National Provider Identifier
1730154584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7089964 | Medicaid | WA | |
| AN0085 | Other | WA | REGENCE |
| 69527 | Other | WA | LABOR & INDUSTRIES |
Other names 1
- Ankle & Foot Clinic of Everett
National Provider Directory
National Provider DirectoryLocations
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.