Active NPI
Theresa M Ledbetter, DPM
- Podiatrist
- Pasco, WA
National Provider Identifier
1194907709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PO00000364
- Practice address
- 704 W Margaret St
Pasco, WA 99301-4127 - Phone
- (509) 545-5906
- Fax
- (509) 547-5999
- NPI assigned
- Dec 5, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | PO00000364 | WA | Primary |
Addresses
Primary practice location
704 W Margaret St
Pasco, WA 99301-4127
Mailing address
704 W Margaret St
Pasco, WA 99301-4127
Phone (509) 545-5906
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PO00000364 | WA | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theresa M Ledbetter DPM PC | Podiatrist | Past | Accepting new patients |
| Tri Cities Foot & Ankle Clinic, PLLC | Podiatrist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Podiatrist
- Pasco, WA
- NPI 1780754663
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196812800000",
"number": "1194907709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "704 W MARGARET ST",
"city": "PASCO",
"state": "WA",
"postal_code": "993014127",
"telephone_number": "509-545-5906",
"fax_number": "509-547-5999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "704 W MARGARET ST",
"city": "PASCO",
"state": "WA",
"postal_code": "993014127",
"telephone_number": "509-545-5906",
"fax_number": "509-547-5999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEDBETTER",
"first_name": "THERESA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-12-05",
"last_updated": "2007-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "WA",
"license": "PO00000364",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasco, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.