Organization Active NPI

The Foot Care Nurse LLC

  • Family Nurse Practitioner
  • Valparaiso, IN
National Provider Identifier
1154633790
Registry record updated Jun 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71000056A Issued in IN
Legal business name
THE FOOT CARE NURSE LLC
Practice address
2410 Allison Cir
Valparaiso, IN 46383-3973
Phone
(219) 707-9237
Fax
(219) 961-8300
NPI assigned
Jul 12, 2010
Organization subpart
Yes
Parent organization
THE FOOT CARE NURSE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 27, 2013

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

Authorized official

Name
Suzan Von Ehr, FNP, APRN-BC
Title
Nurse Practitioner/Owner
Phone
(219) 707-9237

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 71000056A IN Primary

Addresses

Primary practice location

2410 Allison Cir
Valparaiso, IN 46383-3973

Mailing address

2410 Allison Cir
Valparaiso, IN 46383-3973
Phone (219) 707-9237

National Provider Directory

National Provider Directory
Part of
The Foot Care Nurse LLC

NPI Registry JSON

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

{
    "created_epoch": "1278892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372291200000",
    "number": "1154633790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 ALLISON CIR",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463833973",
            "telephone_number": "219-707-9237",
            "fax_number": "219-961-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 ALLISON CIR",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463833973",
            "telephone_number": "219-707-9237",
            "fax_number": "219-961-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FOOT CARE NURSE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE FOOT CARE NURSE LLC",
        "enumeration_date": "2010-07-12",
        "last_updated": "2013-06-27",
        "status": "A",
        "authorized_official_last_name": "VON EHR",
        "authorized_official_first_name": "SUZAN",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/OWNER",
        "authorized_official_telephone_number": "219-707-9237",
        "authorized_official_credential": "FNP, APRN-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71000056A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.