Individual provider Active NPI

Kristin E Harper, DPM

  • Foot & Ankle Surgery Podiatrist
  • Beaver, PA
National Provider Identifier
1336631548
Registry record updated Apr 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
SC007229 Issued in PA
Practice address
336 College Ave
Beaver, PA 15009-2231
Phone
(724) 774-1525
NPI assigned
Jun 4, 2018
Last updated
Apr 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Foot & Ankle Surgery Podiatrist 213ES0103X SC007229 PA Primary

Addresses

Primary practice location

336 College Ave
Beaver, PA 15009-2231

Mailing address

336 College Ave Ste 106
Beaver, PA 15009-2231
Phone (724) 774-1525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210921002284 PA Practitioner - Podiatry 3971900754 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
R Franklin University of Med & Sci/Chicago Medical School, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Joseph W Bozek Jr PCGroup PAC ID 0547446544, 2 clinicians
Mrs Physical TherapyGroup PAC ID 0042128407, 168 clinicians

Practice addresses (Care Compare)

336 College Ave
Beaver, PA 15009-2231
Phone (724) 774-1525

4538 Peach St
Erie, PA 16509-1364
Phone (814) 864-6650

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue284
Removal or shaving of skin growth40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
GPS Cranberry LLC. CurrentSince Aug 1, 2023 Accepting new patients
Dr. Joseph W. Bozek Jr P.C. CurrentSince Sep 1, 2021 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

336 College Ave
Beaver, PA 15009
Phone (724) 774-1404

336 College Ave
Ste 106
Beaver, PA 15009
Phone (724) 744-1525

51 Dutilh Rd
Ste 100
Cranberry Twp, PA 16066
Phone (412) 683-4504

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1528070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648771200000",
    "number": "1336631548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 COLLEGE AVE STE 106",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150092231",
            "telephone_number": "724-774-1525",
            "fax_number": "247-774-0366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 COLLEGE AVE",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150092231",
            "telephone_number": "724-774-1525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARPER",
        "first_name": "KRISTIN",
        "middle_name": "E",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-04",
        "last_updated": "2022-04-01",
        "certification_date": "2022-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC007229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaver, PA

Sources for this page

Verify at the official NPI Registry.