Active NPI
Northwest Foot & Ankle Associates, P.S.
- Foot & Ankle Surgery Podiatrist
- Seattle, WA
National Provider Identifier
1881860591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- PO0000489
- Legal business name
- NORTHWEST FOOT & ANKLE ASSOCIATES, P.S.
- Practice address
- 1545 NE 65TH St
Seattle, WA 98115-6800 - Phone
- (206) 528-0100
- Fax
- (206) 528-2112
- NPI assigned
- May 2, 2008
- 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
- Cheryl Ann Moore
- Title
- Billing Manager
- Phone
- (425) 775-1505
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO0000489 | WA | Primary |
| Podiatric Clinic/Center | 261QP1100X | PO00000489 | WA |
Addresses
Primary practice location
1545 NE 65TH St
Seattle, WA 98115-6800
Mailing address
21229 84TH Ave W
Edmonds, WA 98026-7304
Phone (425) 775-1505
Other names 1
- Active Foot & Ankle
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Primary Podiatric Medicine Podiatrist
- Edmonds, WA
- NPI 1992833594
O20070904000382
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Edmonds, WA
- NPI 1447324330
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209686400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1387497600000",
"number": "1881860591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21229 84TH AVE W",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980267304",
"telephone_number": "425-775-1505",
"fax_number": "425-775-9078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1545 NE 65TH ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981156800",
"telephone_number": "206-528-0100",
"fax_number": "206-528-2112"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHWEST FOOT & ANKLE ASSOCIATES, P.S.",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-02",
"last_updated": "2013-12-20",
"status": "A",
"authorized_official_last_name": "MOORE",
"authorized_official_first_name": "CHERYL",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "425-775-1505"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "WA",
"license": "PO0000489",
"primary": true
},
{
"code": "261QP1100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Podiatric",
"state": "WA",
"license": "PO00000489",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Active Foot & Ankle",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Seattle, WA
- Northwest Family Life Learning and Counseling Center
- Northwest Family Practice
- Northwest Family Therapy PLLC
- Northwest First Assists
- Northwest Foot & Ankle Associates, P.S.
- Northwest Glaucoma and Cataract Consultants LLC
- Northwest Glaucoma and Cataract Consultants, LLC
- Northwest Homecare & Staffing Services, LLC
- Northwest Hospital
- Northwest Hospital
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.