Heather A Couch, D.P.M.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

0552 Issued in AZ

Practice address

16841 N. 31St Ave
Ste. 134
Phoenix, AZ 85053-3051

Phone

(623) 322-5001

Fax

(623) 322-8996

NPI assigned

Jun 16, 2005

Reactivated

Mar 29, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

College of Podiatric Med and Surgery, Des Moines University, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Agave Foot Specialists, PLLCGroup PAC ID 0244228302, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Honor Health John C. Lincoln Medical Center Hospital, Phoenix, AZ, CCN 030014

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Agave Foot Specialists, PLLC

  • Foot & Ankle Surgery Podiatrist
  • Phoenix, AZ
  • NPI 1861508541
  Medicare reassignment Care Compare group NPD Authorized official
• Sole Foot and Ankle Specialists PC

  • Durable Medical Equipment & Medical Supplies
  • Glendale, AZ
  • NPI 1346354354

  Podiatrist

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Honorhealth

  • General Acute Care Hospital
  • Phoenix, AZ
  • NPI 1770690695
  Care Compare affiliation

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203984000000",
    "number": "1184629156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16841 N. 31ST AVE",
            "address_2": "STE. 134",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850533051",
            "telephone_number": "623-322-5001",
            "fax_number": "623-322-8996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16841 N. 31ST AVE",
            "address_2": "STE. 134",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850533051",
            "telephone_number": "623-322-5001",
            "fax_number": "623-322-8996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUCH",
        "first_name": "HEATHER",
        "middle_name": "A",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-16",
        "last_updated": "2008-02-26",
        "deactivation_date": "2006-03-17",
        "reactivation_date": "2006-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AZ",
            "license": "0552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00208444",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-PIN",
            "identifier": "Z78990",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Cottrell, MA LASAC
• Kristine Cottrell
• Stephanie Cottrell, RN
• Allison A Couch, RBT
• Christopher E. Couch, M.D.
• Jason Scott Couch, D.O.
• Kimberly Ann Couch, CNM, FNP-C
• Lonnie Dean Couch, DO
• Roland McCrae Couche, MD
• David Michael Coulson, O.D.

• Foot & Ankle Surgery Podiatrist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Foot & Ankle Surgery Podiatrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.