NPIMap

Organization Active NPI

Renew Podiatry Footcare and Aesthetics Medspa LLC

  • Podiatric Clinic/Center
  • New Orleans, LA
National Provider Identifier
1063877504
Registry record updated Dec 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
SC006698 Issued in PA
Legal business name
RENEW PODIATRY FOOTCARE AND AESTHETICS MEDSPA LLC
Practice address
7501 Trapier Ave
New Orleans, LA 70127-1639
Phone
(504) 231-7147
NPI assigned
Dec 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Gabrielle Sharon Clark, DPM
Title
Podiatrist
Phone
(504) 231-7147

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X SC006698 PA Primary

Addresses

Primary practice location

7501 Trapier Ave
New Orleans, LA 70127-1639

Mailing address

7501 Trapier Ave
New Orleans, LA 70127-1639
Phone (504) 231-7147

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1451347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451347200000",
    "number": "1063877504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7501 TRAPIER AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701271639",
            "telephone_number": "504-231-7147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7501 TRAPIER AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701271639",
            "telephone_number": "504-231-7147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW PODIATRY FOOTCARE AND AESTHETICS MEDSPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-29",
        "last_updated": "2015-12-29",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "GABRIELLE",
        "authorized_official_middle_name": "SHARON",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "504-231-7147",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "PA",
            "license": "SC006698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.