Bare Foot Care Specialist, LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

POD 1075 Issued in GA

Legal business name

BARE FOOT CARE SPECIALIST, LLC

Practice address

3485 Atlanta Hwy
Flowery Branch, GA 30542-2918

Phone

(770) 531-9222

NPI assigned

May 30, 2008

Last updated

Jan 23, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jeannette Velazquez, DPMNPI 1114956588

Title

Owner

Phone

(770) 531-9222

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 2

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.

• Jeannette Velazquez, DPM

  • Podiatrist
  • Flowery Branch, GA
  • NPI 1114956588
  Medicare reassignment NPD Authorized official
• Francisca Marcela Harrell, D.P.M.

  • Podiatrist
  • Laredo, TX
  • NPI 1013031921
  NPD (past)

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232668800000",
    "number": "1306004874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3485 ATLANTA HWY",
            "city": "FLOWERY BRANCH",
            "state": "GA",
            "postal_code": "305422918",
            "telephone_number": "770-531-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3485 ATLANTA HWY",
            "city": "FLOWERY BRANCH",
            "state": "GA",
            "postal_code": "305422918",
            "telephone_number": "770-531-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARE FOOT CARE SPECIALIST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-30",
        "last_updated": "2009-01-23",
        "status": "A",
        "authorized_official_last_name": "VELAZQUEZ",
        "authorized_official_first_name": "JEANNETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-531-9222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "POD 1075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "2771997",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4384641",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "576003162B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B",
            "identifier": "511G700542",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "52222642-004",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7861901",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catherine Bailey
• Stephanie Jane Bailey, LCSW
• Glenda Baptiste
• Kim Daneen Barber Foss, MS ATC
• Keith Bardes, RPH
• Bryce Barrett, LPC
• Kristen Leigh Basham, MS, OTR/L
• Sarah Melissa Batten, P.T.
• Christian Baumgartner, MD
• Beatrice a. Santelli, Inc.

• Podiatrist in Flowery Branch, GA
• Providers in Flowery Branch, GA by specialty
• Podiatrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2009; 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.