Active NPI
Justine Blair
- Podiatrist
- Tampa, FL
National Provider Identifier
1265274864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PO4692
- Practice address
- 8108 N Nebraska Ave
Tampa, FL 33604-3103 - Phone
- (813) 397-5300
- NPI assigned
- Jun 12, 2024
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | PO4692 | FL | Primary |
Addresses
Primary practice location
8108 N Nebraska Ave
Tampa, FL 33604-3103
Mailing address
1465 Gene St
Winter Park, FL 32789-4815
Phone (813) 863-1044
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Barry University School of Podiatric Medicine, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
16149 Monterey Greens Cir
Tampa, FL 33647-3788
302 W Fletcher Ave
Tampa, FL 33612-3415
9425 Delegates Row
Indianapolis, IN 46240-3805
PO Box
Suite 82969
Tampa, FL 33682
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PO4692 | FL | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779667200000",
"number": "1265274864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1465 GENE ST",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327894815",
"telephone_number": "813-863-1044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8108 N NEBRASKA AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336043103",
"telephone_number": "813-397-5300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAIR",
"first_name": "JUSTINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-12",
"last_updated": "2026-05-25",
"certification_date": "2026-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "FL",
"license": "PO4692",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.