JODI R KIRKWOOD NPI 1972765295

NPI Information

NPI: 1972765295
Provider Name: JODI R KIRKWOOD
Classification: Orthotic Fitter - 225000000X
Entity Type: Individual
Address:
204 QUINCE ST NE
SUITE 100
OLYMPIA, WA
ZIP 98506
Phone: (360) 753-7224
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Jodi R Kirkwood is an orthotic fitter in Olympia, WA. The provider is an individual trained in the management of fitting prefabricated orthoses. Jodi R Kirkwood NPI is 1972765295. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

204 QUINCE ST NE
SUITE 100
OLYMPIA, WA
ZIP 98506-009
Phone: (360) 753-7224
Fax: (360) 705-2413

The enumeration date for this NPI number is 6/27/2008 and was last updated on 6/27/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225000000X	Orthotic Fitter				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8989CU	OTHER		REGENCE BLUE SHIELD
2	9057852	MEDICAID	WASHINGTON
3	203259289-98506-0000	OTHER		TRICARE
4	5581430001	MEDICARE NSC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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