NPIMap

Organization Active NPI

Altitude Foot & Ankle Center

  • Foot & Ankle Surgery Podiatrist
  • Longmont, CO
National Provider Identifier
1104262922
Registry record updated May 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
673 Issued in CO
Legal business name
ALTITUDE FOOT & ANKLE CENTER
Practice address
1138 Olympia Ave
Unit B
Longmont, CO 80504-2382
Phone
(419) 788-2396
NPI assigned
May 20, 2013
Last updated
May 20, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2013

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

Authorized official

Name
Dr. Kimberly Lynn Wilms, D.P.M.NPI 1134306475
Title
Podiatrist
Phone
(419) 788-2396

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 673 CO Primary

Addresses

Primary practice location

1138 Olympia Ave
Unit B
Longmont, CO 80504-2382

Mailing address

1138 Olympia Ave.
Unit B
Longmont, CO 80504
Phone (419) 788-2396

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1369008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369008000000",
    "number": "1104262922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1138 OLYMPIA AVE.",
            "address_2": "UNIT B",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "80504",
            "telephone_number": "419-788-2396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1138 OLYMPIA AVE",
            "address_2": "UNIT B",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805042382",
            "telephone_number": "419-788-2396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTITUDE FOOT & ANKLE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-20",
        "last_updated": "2013-05-20",
        "status": "A",
        "authorized_official_last_name": "WILMS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "419-788-2396",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CO",
            "license": "673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2013; 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.