Organization Active NPI

Nordstrom

  • Prosthetic/Orthotic Supplier
  • Salt Lake City, UT
National Provider Identifier
1972538536
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
NORDSTROM
Practice address
50 S Main St
Salt Lake City, UT 84144-0103
Phone
(801) 322-4200
NPI assigned
Jul 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Authorized official

Name
Tracy Condie
Title
Prosthesis Office Manager
Phone
(206) 373-2047

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

50 S Main St
Salt Lake City, UT 84144-0103

Mailing address

1617 6TH Ave
Seattle, WA 98101-1707

National Provider Directory

National Provider Directory

Locations

50 S Main St
Salt Lake City, UT 84101
Phone (801) 322-4200

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1972538536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 6TH AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 S MAIN ST",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841440103",
            "telephone_number": "801-322-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORDSTROM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "CONDIE",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "PROSTHESIS OFFICE MANAGER",
        "authorized_official_telephone_number": "206-373-2047"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.

Verify at the official NPI Registry.