Organization Active NPI

Rainier Foot and Ankle Associates,PLLC

  • Foot & Ankle Surgery Podiatrist
  • Enumclaw, WA
National Provider Identifier
1780179242
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
RAINIER FOOT AND ANKLE ASSOCIATES,PLLC
Practice address
1145 Cole St
Enumclaw, WA 98022-2638
Phone
(360) 761-1285
Fax
(360) 761-1313
NPI assigned
Jun 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Authorized official

Name
Maria Hansen
Title
Director
Phone
(360) 761-1285

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

1145 Cole St
Enumclaw, WA 98022-2638

Mailing address

1145 Cole St
Enumclaw, WA 98022-2638
Phone (360) 761-1285

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20181003003476 WA Part B Supplier - Clinic/Group Practice 2163774076 Receives reassigned benefits from 3 practitioners
Practice locations: Enumclaw, WA; Federal Way, WA
O20200501002369 WA DME Supplier - Physician - Podiatry 2163774076 Practice locations: Enumclaw, WA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2253659Rainier Foot and Ankle Associates1145 Cole St, Enumclaw, WA 98022Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Locations

1145 Cole St
Enumclaw, WA 98022
Phone (360) 761-1285

1450 Battersby Ave
Ste 100
Enumclaw, WA 98022
Phone (360) 761-1285

Ownership & related parties

Subparts reporting this organization as parent 1

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

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701648000000",
    "number": "1780179242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 COLE ST",
            "city": "ENUMCLAW",
            "state": "WA",
            "postal_code": "980222638",
            "telephone_number": "360-761-1285",
            "fax_number": "360-761-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 COLE ST",
            "city": "ENUMCLAW",
            "state": "WA",
            "postal_code": "980222638",
            "telephone_number": "360-761-1285",
            "fax_number": "360-761-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINIER FOOT AND ANKLE ASSOCIATES,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-27",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "360-761-1285"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enumclaw, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.