Active NPI
Clare H Starrett, DPM
- Podiatrist
- Bradenton, FL
National Provider Identifier
1003928615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PO 1475
- Practice address
- 2722 Manatee Ave W
Ste 4
Bradenton, FL 34205-4945 - Phone
- (941) 779-1100
- Fax
- (941) 778-3913
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | PO 1475 | FL | Primary |
Addresses
Primary practice location
2722 Manatee Ave W
Ste 4
Bradenton, FL 34205-4945
Mailing address
2722 Manatee Ave W
Ste 4
Bradenton, FL 34205
Phone (941) 779-1100
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33875 | Other | FL | HARVARD PILGRIM HPHC |
| 00021053101 | Other | FL | UNIVERA |
| 6200972 | Other | FL | GHI |
| 65322 | Other | FL | BCBS |
| V78546 | Other | FL | AMERIHEALTH |
| 116418 | Other | FL | HEALTHPARTNERS |
| 480018087 | Other | FL | RAIL ROAD MEDICARE |
| N408633 | Other | FL | STAYWELL HEALTHEASE WELLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PO 1475 | FL | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350259200000",
"number": "1003928615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2722 MANATEE AVE W",
"address_2": "STE 4",
"city": "BRADENTON",
"state": "FL",
"postal_code": "34205",
"telephone_number": "941-779-1100",
"fax_number": "941-778-3913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2722 MANATEE AVE W",
"address_2": "STE 4",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342054945",
"telephone_number": "941-779-1100",
"fax_number": "941-778-3913"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STARRETT",
"first_name": "CLARE",
"middle_name": "H",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2012-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "FL",
"license": "PO 1475",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HPHC",
"identifier": "33875",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00021053101",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "6200972",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "65322",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "V78546",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS",
"identifier": "116418",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "480018087",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STAYWELL HEALTHEASE WELLC",
"identifier": "N408633",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.