Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jerod Stanley, DPM

Individual provider Podiatrist · NPI 1356758668

Jerod Stanley, DPM is a Podiatry in Olympia, Washington. Graduated from Kent State University College of Podiatric Medicine in 2013, 13 years ago. Practices with Stanley and Utterback, a 2-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
13
Trained at
Kent State University College of Podiatric Medicine
Licensed in
WA
In the registry since
2014
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

3525 Ensign Rd NE Ste N
Olympia, WA 98506-5065
Phone: (360) 943-9600
Fax: (360) 943-9694
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence PO60750804 (WA)

Record details

NPI number1356758668
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorYes
NPI enumeratedJuly 18, 2014
Last updated in NPPESJanuary 3, 2024
Certification dateJanuary 3, 2024
Mailing address3525 Ensign Rd Ne Ste N, Olympia, WA 98506-5065

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolKENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduated 2013 (13 years in practice)
Group practice Stanley And Utterback — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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