Active NPI
Carrie a Lakin DPM Inc
- Podiatrist
- Charleston, WV
National Provider Identifier
1255467155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 0359
- Legal business name
- CARRIE A LAKIN DPM INC
- Practice address
- 331 Laidley St
Suite 602
Charleston, WV 25301-1619 - Phone
- (304) 347-3668
- Fax
- (304) 347-3998
- NPI assigned
- Feb 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Carrie A Lakin, DPM
- Title
- Ceo
- Phone
- (304) 347-3668
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 0359 | WV | Primary |
Addresses
Primary practice location
331 Laidley St
Suite 602
Charleston, WV 25301-1619
Mailing address
PO Box 11528
Charleston, WV 25339-1528
Phone (304) 347-3668
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2103010001 | Medicaid | WV |
National Provider Directory
National Provider DirectoryLocations
1313 Quarrier St
Ste B
Charleston, WV 25301
Phone (304) 347-3668
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1194220800000",
"number": "1255467155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11528",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253391528",
"telephone_number": "304-347-3668",
"fax_number": "304-347-3998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "331 LAIDLEY ST",
"address_2": "SUITE 602",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253011619",
"telephone_number": "304-347-3668",
"fax_number": "304-347-3998"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARRIE A LAKIN DPM INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-26",
"last_updated": "2007-11-05",
"status": "A",
"authorized_official_last_name": "LAKIN",
"authorized_official_first_name": "CARRIE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "304-347-3668",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "WV",
"license": "0359",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2103010001",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 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.