NPIMap

Organization Active NPI

Cutting Edge Foot and Ankle Clinic, PLLC

  • Podiatric Clinic/Center
  • Nashville, TN
National Provider Identifier
1154889533
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
Legal business name
CUTTING EDGE FOOT AND ANKLE CLINIC, PLLC
Practice address
3443 Dickerson Pike Ste 740
Nashville, TN 37207-2527
Phone
(615) 866-9639
Fax
(615) 915-9640
NPI assigned
Mar 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Authorized official

Name
Yerusalem Abebe Lanier, DPMNPI 1760836290
Title
Physician
Phone
(615) 866-9639

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X
Podiatric Clinic/Center 261QP1100X Primary

Addresses

Primary practice location

3443 Dickerson Pike Ste 740
Nashville, TN 37207-2527

Mailing address

1725 Hudson Rd
Madison, TN 37115-5705
Phone (615) 582-5069

Other practice location 1

1725 Hudson Rd
Madison, TN 37115-5705
Phone (615) 582-5069

Other practice location 2

491 Sage Rd N Ste 400
White House, TN 37188-9361
Phone (615) 866-9639

Other identifiers 1

IdentifierTypeStateIssuer
106571775OtherTNDRIVER LICENSE

Other names 1

  • Cutting Edge Foot and Ankle Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191017000793 TN Part B Supplier - Clinic/Group Practice 2860723103 Receives reassigned benefits from 9 practitioners
Practice locations: White House, TN; Pleasant View, TN; Nashville, TN; Brentwood, TN

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

1001 Health Park Dr
Ste 330
Brentwood, TN 37027
Phone (615) 866-9639

2201 Murphy Ave
Ste 210
Nashville, TN 37203
Phone (615) 327-3443

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19521/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611619200000",
    "number": "1154889533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 HUDSON RD",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371155705",
            "telephone_number": "615-582-5069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3443 DICKERSON PIKE STE 740",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372072527",
            "telephone_number": "615-866-9639",
            "fax_number": "615-915-9640"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1725 Hudson Rd",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "TN",
            "postal_code": "371155705",
            "country_code": "US",
            "telephone_number": "615-582-5069",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "491 Sage Rd N Ste 400",
            "address_purpose": "LOCATION",
            "city": "White House",
            "state": "TN",
            "postal_code": "371889361",
            "country_code": "US",
            "telephone_number": "615-866-9639",
            "fax_number": "615-915-4690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CUTTING EDGE FOOT AND ANKLE CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-05",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A",
        "authorized_official_last_name": "LANIER",
        "authorized_official_first_name": "YERUSALEM",
        "authorized_official_middle_name": "ABEBE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "615-866-9639",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER LICENSE",
            "identifier": "106571775",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cutting Edge Foot and Ankle Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.