DR. JOHN KITTRELL CLYDE D.P.M. NPI 1831402841

NPI Information

  • NPI: 1831402841
  • Provider Name: DR. JOHN KITTRELL CLYDE, D.P.M.
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 526 N MULLAN RD
    SPOKANE VALLEY, WA
    ZIP 99206
  • Phone: (099) 242-6005

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NPI Details

DR. John Kittrell Clyde, D.P.M. is a foot and ankle surgery podiatrist in Spokane Valley, WA with 17 years of experience. DR. John Kittrell Clyde, D.P.M. NPI is 1831402841. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE
Graduation Year:2009

The provider's business location address is:

526 N MULLAN RD
SPOKANE VALLEY, WA
ZIP 99206-408
Phone: (099) 242-6005
Fax: (509) 926-9865

The NPI 1831402841 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
  • Removal of noncancer thickened skin growth, 2-4 growths (HCPCS:11056)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Removal of noncancer thickened skin growth, 1 growth (HCPCS:11055)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Permanent removal fingernail or toenail (HCPCS:11750)
  • Injection into tendon or ligament (HCPCS:20550)
  • Initial hospital inpatient care per day, typically 30 minutes (HCPCS:99221)

The enumeration date for this NPI number is 7/19/2010 and was last updated on 8/22/2024.

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
1213E00000XPodiatristPO60253252WASHINGTONNo
2213ES0103XPodiatristFoot & Ankle SurgeryPO60253252WASHINGTONYes

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
12020121MEDICAIDWASHINGTON

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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