NORDSTROM INC & SUBSIDIARIES (NPI# 1952327322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952327322 |
| Entity Type | Organization |
| Organization Name | NORDSTROM INC & SUBSIDIARIES |
| Other Organization Name | NORDSTROM INC |
| Practice Address |
1200 Broadway Plz Walnut Creek CA 94596-5129 |
| Mailing Address |
1617 6th Ave Attn: Prosthesis Seattle WA 98101-1707 |
| Practice Telephone | 9259307959 |
| Mailing Telephone | 2064544060 |
| Mailing Fax Number | 2064541279 |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2015-06-17 |
| Authorized Official Name | KRESHA B BRITTON (PROSTHESIS OFFICE MANAGER) |
| Authorized Official Telephone | 2064544060 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| Other Name | Type Code |
|---|---|
| Nordstrom Inc | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487214326 | Nordstrom Inc & Subsidiaries | Prosthetic/Orthotic Supplier | 100 Water St Ste A, Norwalk, CT 06854-3067 | 2019-06-13 |
| 1255887519 | Nordstrom Inc & Subsidiaries | Prosthetic/Orthotic Supplier | 3111 Palm Way, Austin, TX 78758 | 2016-08-28 |
| 1275900664 | Nordstrom Inc & Subsidiaries | Prosthetic/Orthotic Supplier | 12401 Wayzata Blvd, Minnetonka, MN 55305-1974 | 2015-09-01 |
| 1043619166 | Nordstrom Inc & Subsidiaries | Prosthetic/Orthotic Supplier | 4835 Town Crossing Drive, Jacksonville, FL 32246-8577 | 2014-08-14 |
| 1114292216 | Nordstrom Inc & Subsidiaries | Durable Medical Equipment & Medical Supplies | 55 S West Temple, Salt Lake City, UT 84101-7000 | 2012-03-21 |
| 1386933273 | Nordstrom Inc & Subsidiaries | Prosthetic/Orthotic Supplier | 100 Christiana Mall, Newark, DE 19702-3202 | 2011-03-31 |
| 1184913071 | Nordstrom Inc & Subsidiaries | Prosthetic/Orthotic Supplier | 2130 Abbott Martin Rd, Nashville, TN 37215-2607 | 2011-03-31 |
| 1265721153 | Nordstrom Inc & Subsidiaries | Prosthetic/Orthotic Supplier | 1453 Saint Louis Galleria, Richmond Heights, MO 63117-1112 | 2011-03-31 |
| 1821307331 | Nordstrom Inc & Subsidiaries | Prosthetic/Orthotic Supplier | 901 Newport Center Dr, Newport Beach, CA 92660-6903 | 2010-09-30 |
| 1659608636 | Nordstrom Inc & Subsidiaries | Prosthetic/Orthotic Supplier | 7801 Montgomery Rd, Cincinnati, OH 45236-4302 | 2009-11-11 |
| Street Address |
1200 BROADWAY PLZ |
| City | WALNUT CREEK |
| State | CA |
| Zip Code | 94596-5129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467917229 | Alison M Khaddour | Behavior Technician | 800 S Broadway Ste. 310, Walnut Creek, CA 94596 | 2019-02-06 |
| 1134683618 | Ian Colas | Respiratory Therapist, Certified | 1425 South Main Street, Walnut Creek, Walnut Creek, CA 94596 | 2019-01-29 |
| 1912474131 | Albert Dizon Miraflores | Behavior Technician | 1910 Olympic Blvd Walnut Creek Ca 94596, Walnut Creek, CA 94596 | 2018-10-25 |
| 1487136834 | Daryn Stier | Social Worker | 80 Norlyn Drive, Walnut Creek, CA 94596 | 2018-09-02 |
| 1831682335 | Jessica Lim | Registered Nurse | 1357 Oakland Blvd, Walnut Creek, CA 94596 | 2018-06-08 |
| 1699278432 | Alanna Everhart | Behavior Technician | 877 Ygnacio Valley Road, Suite 100, Walnut Creek, CA 94596 | 2018-03-16 |
| 1962958108 | Derek Jue Md | Clinic/Center | 1812 San Miguel Drive, Walnut Creek, CA 94596 | 2016-08-28 |
| 1912369711 | Pamela Jean Lister | Marriage & Family Therapist | 2070 N Broadway, #5370, Walnut Creek, CA 94596 | 2016-03-22 |
| 1548635147 | Anne Lamoreaux Anderson | Behavioral Analyst | 800 South Broadway Suite #310, Walnut Creek, CA 94596 | 2015-12-08 |
| 1346619434 | Christine Anne Gotelli | Registered Nurse | 370 N. Civic Drive #311, San Francico, CA 94596 | 2015-09-18 |
| Find all providers in zip 94596 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295126274 | Restore Medical Inc | Prosthetic/Orthotic Supplier | 2075 N Broadway, Walnut Creek, CA 94596-3716 | 2015-02-11 |
| 1609135029 | M&g Custom Shoes and Orthotics LLC | Prosthetic/Orthotic Supplier | 2950 Buskirk Ave, Suite 300, Walnut Creek, CA 94597-7779 | 2012-05-04 |
| 1548576366 | Diablo Prosthetics & Orthotics Inc. | Prosthetic/Orthotic Supplier | 120 La Casa Via, Suite 202, Walnut Creek, CA 94598-3067 | 2010-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821696592 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 3031 W March Ln Ste 216w, Stockton, CA 95219-6500 | 2020-10-14 |
| 1871191742 | Alcam Medical Inc. | Prosthetic/Orthotic Supplier | 1244 N Mariposa St Ste 10, Fresno, CA 93703-3929 | 2020-10-13 |
| 1740887462 | A-z Consulting O & P Services | Prosthetic/Orthotic Supplier | 1133 Smith Ln Ste 5, Roseville, CA 95661-4131 | 2020-10-06 |
| 1255938452 | Sheek Hair Boutique | Prosthetic/Orthotic Supplier | 1432 N Cedar Ave Apt 107, Fresno, CA 93703-5303 | 2020-10-01 |
| 1922615368 | Inland Artificial Limb & Brace | Prosthetic/Orthotic Supplier | 1101 Bryan Ave Ste C, Tustin, CA 92780-4401 | 2020-09-29 |
| 1043823461 | Crystal Johnson | Prosthetic/Orthotic Supplier | 812 S Flower St Apt 4, Inglewood, CA 90301-7913 | 2020-08-25 |
| 1225640220 | Christopher Holloway | Prosthetic/Orthotic Supplier | 4517 Market St Ste 4, Ventura, CA 93003-7841 | 2020-08-20 |
| 1407468416 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 488 E Valley Pkwy Ste 207, Escondido, CA 92025-3368 | 2020-08-20 |
| 1801406269 | Restore Medical Inc | Prosthetic/Orthotic Supplier | 1505 Soquel Dr Ste 4, Santa Cruz, CA 95065-1716 | 2020-07-31 |
| 1801404199 | Covering With Care | Prosthetic/Orthotic Supplier | 21350 Avalon Blvd Unit 5039, Carson, CA 90749-7032 | 2020-07-22 |
| Find all providers with the same taxonomy | ||||
| City | WALNUT CREEK |
| Zip Code | 94596 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.