NPIMap

Organization Active NPI

Ankle & Foot Specialist of Puget Sound, PS

  • Podiatrist
  • Puyallup, WA
National Provider Identifier
1740688902
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
ANKLE & FOOT SPECIALIST OF PUGET SOUND, PS
Practice address
1450 5TH St SE Ste 4400
Puyallup, WA 98372-4691
Phone
(253) 848-0131
Fax
(253) 840-6787
NPI assigned
Dec 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Authorized official

Name
Amber Hollis
Title
Office Administrator
Phone
(253) 256-7048

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X WA Primary

Addresses

Primary practice location

1450 5TH St SE Ste 4400
Puyallup, WA 98372-4691

Mailing address

1450 5TH St SE Ste 4400
Puyallup, WA 98372-4691
Phone (253) 848-0131

Other names 2

  • Sumner/Puyallup Foot & Ankle Clinic Doing business as
  • Ankle & Foot Specialists of Puyallup Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Factoria Foot and Ankle12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1418947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779235200000",
    "number": "1740688902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 5TH ST SE STE 4400",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983724691",
            "telephone_number": "253-848-0131",
            "fax_number": "253-840-6787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 5TH ST SE STE 4400",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983724691",
            "telephone_number": "253-848-0131",
            "fax_number": "253-840-6787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANKLE & FOOT SPECIALIST OF PUGET SOUND, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-19",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A",
        "authorized_official_last_name": "HOLLIS",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "253-256-7048"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sumner/Puyallup Foot & Ankle Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sumner/Puyallup Foot & Ankle Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ankle & Foot Specialists of Puyallup",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; 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.