Organization Active NPI

Port Townsend Foot & Ankle Center

  • Foot & Ankle Surgery Podiatrist
  • Poulsbo, WA
National Provider Identifier
1982583456
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
PORT TOWNSEND FOOT & ANKLE CENTER
Practice address
20730 Bond Rd NE Ste 120
Poulsbo, WA 98370-9000
Phone
(206) 819-9605
NPI assigned
Aug 29, 2025
Organization subpart
Yes
Parent organization
LIBERTY BAY FOOT & ANKLEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Authorized official

Name
Kirk D Sherris, DPMNPI 1710073879
Title
Owner/President
Phone
(206) 819-9605

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

20730 Bond Rd NE Ste 120
Poulsbo, WA 98370-9000

Mailing address

12539 Vista Dr NE
Bainbridge Is, WA 98110-1357
Phone (206) 819-9605

Other practice location 1

204 Gaines St
Port Townsend, WA 98368-6902
Phone (206) 819-9605

Other names 1

  • Liberty Bay Foot & Ankle Other name

National Provider Directory

National Provider Directory
Part of
Port Townsend Foot Ankle Center

Locations

204 Gaines St
Port Townsend, WA 98368
Phone (360) 385-6486

20730 Bond Rd NE
Ste 120
Poulsbo, WA 98370
Phone (360) 434-0539

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1756425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756944000000",
    "number": "1982583456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12539 VISTA DR NE",
            "city": "BAINBRIDGE IS",
            "state": "WA",
            "postal_code": "981101357",
            "telephone_number": "206-819-9605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20730 BOND RD NE STE 120",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983709000",
            "telephone_number": "206-819-9605"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "204 Gaines St",
            "address_purpose": "LOCATION",
            "city": "Port Townsend",
            "state": "WA",
            "postal_code": "983686902",
            "country_code": "US",
            "telephone_number": "206-819-9605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PORT TOWNSEND FOOT & ANKLE CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIBERTY BAY FOOT & ANKLE",
        "enumeration_date": "2025-08-29",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A",
        "authorized_official_last_name": "SHERRIS",
        "authorized_official_first_name": "KIRK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "206-819-9605",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Liberty Bay Foot & Ankle",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Poulsbo, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; 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.