Active NPI
Stevens Foot & Ankle LLP
- Podiatrist
- Edmonds, WA
National Provider Identifier
1962531764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- POOOOOO411
- Legal business name
- STEVENS FOOT & ANKLE LLP
- Practice address
- 7315 212TH St SW Ste 103
Edmonds, WA 98026-7610 - Phone
- (425) 775-6996
- Fax
- (425) 670-8905
- NPI assigned
- Mar 5, 2007
- 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
- Dr. Darren J. Wardle, DPM
- Title
- Owner
- Phone
- (425) 775-6996
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | POOOOOO411 | WA | Primary |
Addresses
Primary practice location
7315 212TH St SW Ste 103
Edmonds, WA 98026-7610
Mailing address
PO Box 11009
Olympia, WA 98508-1009
Phone (425) 775-6996
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7094816 | Medicaid | WA | |
| ST5742 | Other | REGENCE RIDER | |
| 0124633 | Other | WA | L AND I |
| CH7422 | Other | MEDICARE RR |
National Provider Directory
National Provider DirectoryLocations
7315 212th St SW
Ste 103
Edmonds, WA 98026
Phone (425) 775-6996
Practitioners & 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 1609954015
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1199923200000",
"number": "1962531764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11009",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985081009",
"telephone_number": "425-775-6996",
"fax_number": "425-670-8905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7315 212TH ST SW STE 103",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980267610",
"telephone_number": "425-775-6996",
"fax_number": "425-670-8905"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEVENS FOOT & ANKLE LLP",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-05",
"last_updated": "2008-01-10",
"status": "A",
"authorized_official_last_name": "WARDLE",
"authorized_official_first_name": "DARREN",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "425-775-6996",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "WA",
"license": "POOOOOO411",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7094816",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE RIDER",
"identifier": "ST5742",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L AND I",
"identifier": "0124633",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "CH7422",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edmonds, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.