Active NPI
Lois R Fleming, DPM
- Podiatrist
- Redding, CA
National Provider Identifier
1225123789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- E3706
- Practice address
- 441 Lake Blvd
Redding, CA 96003-2406 - Phone
- (530) 246-0523
- Fax
- (530) 246-1321
- NPI assigned
- Oct 3, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | E3706 | CA | Primary |
| Radiology Podiatrist | 213ER0200X | RHD 133809 | CA |
Addresses
Primary practice location
441 Lake Blvd
Redding, CA 96003-2406
Mailing address
441 Lake Blvd
Redding, CA 96003-2406
Phone (530) 246-0523
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000E37060 | Medicaid | CA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E3706 | CA | MD | Podiatrist |
| RHD 133809 | CA | MD | Radiology Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223942400000",
"number": "1225123789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "441 LAKE BLVD",
"city": "REDDING",
"state": "CA",
"postal_code": "960032406",
"telephone_number": "530-246-0523",
"fax_number": "530-246-1321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "441 LAKE BLVD",
"city": "REDDING",
"state": "CA",
"postal_code": "960032406",
"telephone_number": "530-246-0523",
"fax_number": "530-246-1321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLEMING",
"first_name": "LOIS",
"middle_name": "R",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2008-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "CA",
"license": "E3706",
"primary": true
},
{
"code": "213ER0200X",
"taxonomy_group": "",
"desc": "Podiatrist, Radiology",
"state": "CA",
"license": "RHD 133809",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000E37060",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Redding, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.