Active NPI
Shari Elizabeth Kontrath, BOCPD, CPED
- Pedorthist
- Fort Pierce, FL
National Provider Identifier
1255869442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pedorthist
- License
- C50548
- Practice address
- 6780 Samba St
Fort Pierce, FL 34945-3069 - Phone
- (772) 801-9475
- Fax
- (888) 789-0771
- NPI assigned
- Jun 1, 2017
- 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 |
|---|---|---|---|---|
| Pedorthist | 224L00000X | C50548 | FL | Primary |
Addresses
Primary practice location
6780 Samba St
Fort Pierce, FL 34945-3069
Mailing address
6780 Samba St
Fort Pierce, FL 34945-3069
Phone (772) 801-9475
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 |
|---|---|---|---|
| C50548 | FL | MD | Pedorthist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1255869442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6780 SAMBA ST",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349453069",
"telephone_number": "772-801-9475",
"fax_number": "888-789-0771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6780 SAMBA ST",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349453069",
"telephone_number": "772-801-9475",
"fax_number": "888-789-0771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KONTRATH",
"first_name": "SHARI",
"middle_name": "ELIZABETH",
"credential": "BOCPD, CPED",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-01",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "224L00000X",
"taxonomy_group": "",
"desc": "Pedorthist",
"state": "FL",
"license": "C50548",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Pierce, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.