Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
NORTHWEST FOOT AND ANKLE SPECIALISTS, LLC
Active
Organization
NORTHWEST FOOT AND ANKLE SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY J. HALL DPM (OWNER/STAFFING MEMBER/PHYSICIAN)
(206) 365-5484
Entity
Organization
Contact information
Practice address
12900 NE 180TH ST STE 150, BOTHELL, WA 98011-5778
(206) 365-5484
(206) 365-5714
Mailing address
12900 NE 180TH ST, STE 150, BOTHELL, WA 98011
(206) 365-5484
(206) 365-5714
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043268
—
WA
05
—
1106699
—
WA
01
—
1205932191
PROVIDER NPI
WA
01
—
5815682
AETNA
WA
01
—
HA0967
REGENCE
WA
Enumeration date
07/15/2019
Last updated
09/20/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up