NORTHWEST FOOT & ANKLE ASSOCIATES P.S. NPI 1093836652

NPI Information

NPI: 1093836652
Provider Name: NORTHWEST FOOT & ANKLE ASSOCIATES, P.S.
Classification: Clinic/Center - 261QA1903X
Specialization: Ambulatory Surgical
Entity Type: Organization
Doing Business As: ACTIVE FOOT & ANKLE
CLIA Number: 50D0631902
Address: 1545 NE 65TH ST
SEATTLE, WA
ZIP 98115
Phone: (206) 528-0100

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NPI Details

NORTHWEST FOOT & ANKLE ASSOCIATES, P.S. is an ambulatory surgical clinic center in Seattle, WA. NORTHWEST FOOT & ANKLE ASSOCIATES, P.S. NPI is 1093836652. The provider is registered as an organization entity type.
The provider Is Doing Business As Active Foot & Ankle.

The provider's business location address is:

1545 NE 65TH ST
SEATTLE, WA
ZIP 98115-800
Phone: (206) 528-0100
Fax: (206) 528-2112

The provider's authorized official is Cheryl Ann Moore .
The authorized official title is Billing Manager and has the following contact phone number (425) 775-1505.

The CLIA number assigned to this NPI record is 50D0631902 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/2/2007 and was last updated on 12/20/2013.

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	261QA1903X	Clinic/Center	Ambulatory Surgical		WASHINGTON	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	50-C0001166	OTHER	WASHINGTON	STATE CERTIFICATION NUMBER
2	U39356	MEDICARE UPIN	WASHINGTON
3	G8865834	MEDICARE PIN	WASHINGTON

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: 11/21/2025

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