Organization Active NPI

JPL Foot and Ankle Specialists LLC

  • Podiatrist
  • Winter Haven, FL
National Provider Identifier
1275206625
Registry record updated Jul 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
JPL FOOT AND ANKLE SPECIALISTS LLC
Practice address
1300 3Rd St SW # 105
Winter Haven, FL 33880-3913
Phone
(917) 482-1347
Fax
(866) 864-8671
NPI assigned
Jul 30, 2021
Last updated
Jul 30, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2021

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

Authorized official

Name
Jessy Pierre-Louis, DPM
Title
Owner
Phone
(917) 482-1347

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

1300 3Rd St SW # 105
Winter Haven, FL 33880-3913

Mailing address

1300 3Rd St SW # 105
Winter Haven, FL 33880-3913

Other practice location 1

240 2nd St SW Apt 102
Winter Haven, FL 33880-3247
Phone (917) 482-1347

Other identifiers 1

IdentifierTypeStateIssuer
PO4099OtherFLSTATE LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627603200000",
    "number": "1275206625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 3RD ST SW # 105",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803913",
            "fax_number": "866-864-8671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 3RD ST SW # 105",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803913",
            "telephone_number": "917-482-1347",
            "fax_number": "866-864-8671"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "240 2nd St SW Apt 102",
            "address_purpose": "LOCATION",
            "city": "Winter Haven",
            "state": "FL",
            "postal_code": "338803247",
            "country_code": "US",
            "telephone_number": "917-482-1347",
            "fax_number": "866-864-8671",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JPL FOOT AND ANKLE SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-30",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A",
        "authorized_official_last_name": "PIERRE-LOUIS",
        "authorized_official_first_name": "JESSY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-482-1347",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PO4099",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.