Foot Clinic of Louisiana Inc

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

Legal business name

FOOT CLINIC OF LOUISIANA INC

Practice address

2000 Audubon Ave
Suite C-1
Thibodaux, LA 70301-5075

Phone

(985) 446-2335

Fax

(985) 446-2337

NPI assigned

Apr 26, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Kemp Tullier, DPM

Title

President

Phone

(225) 295-1027

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 1

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

• Phillip Barrett Corona, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Thibodaux, LA
  • NPI 1689065559
  Medicare reassignment NPD

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

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394668800000",
    "number": "1194083220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4860 BLUEBONNET BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708099644",
            "telephone_number": "225-295-1027",
            "fax_number": "225-295-1491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 AUDUBON AVE",
            "address_2": "SUITE C-1",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703015075",
            "telephone_number": "985-446-2335",
            "fax_number": "985-446-2337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT CLINIC OF LOUISIANA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-26",
        "last_updated": "2014-03-13",
        "status": "A",
        "authorized_official_last_name": "TULLIER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "KEMP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "225-295-1027",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Celeste Folse
• Theresa Prosper Folse, LPN
• Trisha F Folse, WHNP,MSN
• Ali Fontane, RN
• Kasey S Fontenot
• Paris Ford
• Benjamin Michael Foret, PHARMD
• Brenigan Bouzigard Foret, RN
• Kylie Foret
• Mia Nicole Foret

• Podiatric Clinic/Center in Thibodaux, LA
• Providers in Thibodaux, LA by specialty
• Podiatric Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2014; 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.