Active NPI
Josie Quinn
- Foot & Ankle Surgery Podiatrist
- Palm Bay, FL
National Provider Identifier
1215639372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- PO4740
- Practice address
- 1421 Malabar Rd NE Ste 200
Palm Bay, FL 32907-2559 - Phone
- (321) 308-2660
- Fax
- (321) 984-9303
- NPI assigned
- Mar 21, 2023
- Last updated
- Mar 26, 2026
- 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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO4740 | FL | Primary |
Addresses
Primary practice location
1421 Malabar Rd NE Ste 200
Palm Bay, FL 32907-2559
Mailing address
20900 Biscayne Boulevard
Podiatry
Aventura, FL 33180
Phone (954) 471-1152
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1421 Malabar Rd NE
Suite 200
Palm Bay, FL 32907-2559
Phone (770) 312-5226
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PO4740 | FL | MD | Foot & Ankle Surgery Podiatrist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- Indialantic, FL
- NPI 1700649043
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774483200000",
"number": "1215639372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20900 BISCAYNE BOULEVARD",
"address_2": "PODIATRY",
"city": "AVENTURA",
"state": "FL",
"postal_code": "33180",
"telephone_number": "954-471-1152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1421 MALABAR RD NE STE 200",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329072559",
"telephone_number": "321-308-2660",
"fax_number": "321-984-9303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINN",
"first_name": "JOSIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-03-21",
"last_updated": "2026-03-26",
"certification_date": "2026-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "FL",
"license": "PO4740",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Bay, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; 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.