NPIMap

Organization Active NPI

Kirkpatrick Family Care, PS

Doing business as Kirkpatrick Family Care Foot & Ankle

  • Podiatrist
  • Longview, WA
National Provider Identifier
1952746026
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO60062282 Issued in WA
Legal business name
KIRKPATRICK FAMILY CARE, PS
Doing business as
Kirkpatrick Family Care Foot & Ankle
Practice address
783 Commerce Ave
Suite 120
Longview, WA 98632-2450
Phone
(360) 575-9161
Fax
(360) 575-9161
NPI assigned
May 2, 2013
Last updated
Sep 26, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
KIRKPATRICK FAMILY CARE, PSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Authorized official

Name
Steve Trotter
Title
Administrator
Phone
(360) 423-9580

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO60062282 WA Primary

Addresses

Primary practice location

783 Commerce Ave
Suite 120
Longview, WA 98632-2450

Mailing address

PO Box 1338
Longview, WA 98632-7785
Phone (360) 575-9161

Other identifiers 1

IdentifierTypeStateIssuer
1447286646OtherWAMEDICRE NPI

Other names 1

  • Kirkpatrick Family Care Foot & Ankle Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930056266 WA DME Supplier - Physician - Podiatry 3375536436 1 other NPI on this enrollment
Practice locations: Longview, WA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Kirkpatrick Family Care2 organizations share this tax ID, including this one
Part of
Kirkpatrick Family Care

Other organizations with this tax ID 1

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

Locations

1706 Washington Way
Longview, WA 98632
Phone (360) 423-9580

783 Commerce Ave
Longview, WA 98632
Phone (360) 423-9580

783 Commerce Ave
Ste 120
Longview, WA 98632
Phone (360) 575-6161

783 Commerce Ave
Ste 300
Longview, WA 98632
Phone (360) 200-4318

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1367452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695686400000",
    "number": "1952746026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1338",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986327785",
            "telephone_number": "360-575-9161",
            "fax_number": "360-575-9306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "783 COMMERCE AVE",
            "address_2": "SUITE 120",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986322450",
            "telephone_number": "360-575-9161",
            "fax_number": "360-575-9161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRKPATRICK FAMILY CARE, PS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KIRKPATRICK FAMILY CARE, PS",
        "enumeration_date": "2013-05-02",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A",
        "authorized_official_last_name": "TROTTER",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "360-423-9580"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WA",
            "license": "PO60062282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICRE NPI",
            "identifier": "1447286646",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kirkpatrick Family Care Foot & Ankle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Longview, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.

Verify at the official NPI Registry.