Organization Active NPI

Jenny Adams, PA

Doing business as Adams Foot and Ankle

  • Foot & Ankle Surgery Podiatrist
  • Naples, FL
National Provider Identifier
1235477555
Registry record updated Sep 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
3507 Issued in FL
Legal business name
JENNY ADAMS, PA
Doing business as
Adams Foot and Ankle
Practice address
3435 Pine Ridge Rd
Suite 102
Naples, FL 34109-3828
Phone
(239) 300-9703
Fax
(239) 206-8263
NPI assigned
Jan 21, 2013
Last updated
Sep 18, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2013

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

Authorized official

Name
Dr. Jenny Adams, DPMNPI 1114155678
Title
President
Phone
(239) 260-7476

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 3507 FL Primary

Addresses

Primary practice location

3435 Pine Ridge Rd
Suite 102
Naples, FL 34109-3828

Mailing address

3435 Pine Ridge Rd
Suite 102
Naples, FL 34109-3828
Phone (239) 260-7476

Other identifiers 1

IdentifierTypeStateIssuer
008828100MedicaidFL

Other names 1

  • Adams Foot and Ankle Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20130227000281 FL Part B Supplier - Clinic/Group Practice 3173778925 Receives reassigned benefits from 3 practitioners
Practice locations: Naples, FL
O20140107000389 FL DME Supplier - Physician - Podiatry 3173778925 Practice locations: Naples, FL

National Provider Directory

National Provider Directory

Locations

1112 Goodlette Rd
Ste 202
Naples, FL 34102
Phone (239) 262-5662

6135 Rattlesnake Hammock Rd
Naples, FL 34113
Phone (239) 775-7661

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1358726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379462400000",
    "number": "1235477555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3435 PINE RIDGE RD",
            "address_2": "SUITE 102",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341093828",
            "telephone_number": "239-260-7476",
            "fax_number": "239-260-7608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 PINE RIDGE RD",
            "address_2": "SUITE 102",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341093828",
            "telephone_number": "239-300-9703",
            "fax_number": "239-206-8263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNY ADAMS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-21",
        "last_updated": "2013-09-18",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-260-7476",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "3507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008828100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adams Foot and Ankle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2013; 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.