Organization Active NPI

Bellingham Bay Foot and Ankle Specialists

  • Podiatric Clinic/Center
  • Bellingham, WA
National Provider Identifier
1972238863
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
Legal business name
BELLINGHAM BAY FOOT AND ANKLE SPECIALISTS
Practice address
1600 F St
Bellingham, WA 98225-3012
Phone
(360) 733-3710
Fax
(360) 733-7906
NPI assigned
Jul 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2022

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

Authorized official

Name
Kelly Plyler, ARNP, AGACNPNPI 1750825022
Title
Co-Owner
Phone
(360) 733-3710

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X
Podiatric Clinic/Center 261QP1100X Primary
Acute Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2100X

Addresses

Primary practice location

1600 F St
Bellingham, WA 98225-3012

Mailing address

1600 F St
Bellingham, WA 98225-3012
Phone (360) 733-3710

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20221024002194 WA Part B Supplier - Clinic/Group Practice 0941676456 Receives reassigned benefits from 1 practitioner
Practice locations: Bellingham, WA
O20230130000624 WA DME Supplier - Physician - Podiatry 0941676456 Practice locations: Bellingham, WA

National Provider Directory

National Provider Directory

Locations

1600 F St
Bellingham, WA 98225
Phone (360) 671-8086

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1658534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662681600000",
    "number": "1972238863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 F ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982253012",
            "telephone_number": "360-733-3710",
            "fax_number": "360-733-7906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 F ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982253012",
            "telephone_number": "360-733-3710",
            "fax_number": "360-733-7906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLINGHAM BAY FOOT AND ANKLE SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-23",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A",
        "authorized_official_last_name": "PLYLER",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "360-733-3710",
        "authorized_official_credential": "ARNP, AGACNP"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; 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.