Footsteps, LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

FOOTSTEPS, LLC

Practice address

826 W Highway 30 Ste a
Gonzales, LA 70737-4852

Phone

(225) 803-1516

NPI assigned

Dec 17, 2018

Organization subpart

No

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

Authorized official

Name

Christopher B FormanekNPI 1639146749

Title

Owner

Phone

(225) 756-0034

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

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

• Footsteps, LLC

  • Podiatrist
  • Baton Rouge, LA
  • NPI 1700926409

  6002867678

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Footsteps, LLC

  • Podiatrist
  • Baton Rouge, LA
  • NPI 1700926409

  O20050201000964

  Same enrollment

Tax ID family

Footsteps LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Footsteps, LLC

  • Podiatrist
  • Baton Rouge, LA
  • NPI 1700926409
  NPD tax ID

Locations

Practitioners 1

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

• Christopher B Formanek, D.P.M.

  • Podiatrist
  • Baton Rouge, LA
  • NPI 1639146749
  NPD Authorized official

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620604800000",
    "number": "1194296087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6141 PARKFOREST DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166111",
            "telephone_number": "225-756-0034",
            "fax_number": "225-756-0708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 W HIGHWAY 30 STE A",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707374852",
            "telephone_number": "225-803-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTSTEPS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-17",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A",
        "authorized_official_last_name": "FORMANEK",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-756-0034"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1173576",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Colbie Elyse Foltz
• Carley R Fontenot
• Harli Nicole Fontenot
• Jarvis Byron Fontenot, DDS
• Morilyn Fontenot
• Footsteps,LLC
• Foundation of Health
• John F. Fraiche, M.D.
• Mercedes Francis
• Franciscan Missionaries of Our Lady Health System Inc (RxONE Ascension)

• Podiatrist in Gonzales, LA
• Providers in Gonzales, LA by specialty
• Podiatrist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.