NPIMap

Organization Active NPI

Footprints Case Management

  • Case Management Agency
  • Davidson, NC
National Provider Identifier
1174875736
Registry record updated Oct 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
212631 Issued in NC
Legal business name
FOOTPRINTS CASE MANAGEMENT
Practice address
715 Naramore St
Davidson, NC 28036-6921
Phone
(704) 412-2144
Fax
(704) 353-7315
NPI assigned
Oct 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2012

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

Authorized official

Name
Catherine McDonald, RN BSNNPI 1356699144
Title
Owner
Phone
(704) 412-2144

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
Case Management Agency 251B00000X 212631 NC Primary

Addresses

Primary practice location

715 Naramore St
Davidson, NC 28036-6921

Mailing address

PO Box 1425
Davidson, NC 28036-1425
Phone (704) 412-2144

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.

NPI Registry JSON

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

{
    "created_epoch": "1349568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349568000000",
    "number": "1174875736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1425",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280361425",
            "telephone_number": "704-412-2144",
            "fax_number": "704-353-7315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 NARAMORE ST",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280366921",
            "telephone_number": "704-412-2144",
            "fax_number": "704-353-7315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTPRINTS CASE MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-07",
        "last_updated": "2012-10-07",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-412-2144",
        "authorized_official_credential": "RN BSN"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NC",
            "license": "212631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davidson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.

Verify at the official NPI Registry.