Organization Active NPI

Podiatry Nellness Network Corp

  • Podiatrist
  • Miami, FL
National Provider Identifier
1336984475
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
PODIATRY NELLNESS NETWORK CORP
Practice address
14903 SW 80TH St Apt 2
Miami, FL 33193-3135
Phone
(832) 946-3648
NPI assigned
Jun 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Authorized official

Name
Verenice Leon
Title
Owner
Phone
(786) 487-8192

Specialties & licenses 1

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

Addresses

Primary practice location

14903 SW 80TH St Apt 2
Miami, FL 33193-3135

Mailing address

14903 SW 80TH St Apt 2
Miami, FL 33193-3135
Phone (832) 946-3648

Other names 1

  • Podiatry Nellness Network Corp Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1719619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723420800000",
    "number": "1336984475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14903 SW 80TH ST APT 2",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331933135",
            "telephone_number": "832-946-3648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14903 SW 80TH ST APT 2",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331933135",
            "telephone_number": "832-946-3648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PODIATRY NELLNESS NETWORK CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-29",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A",
        "authorized_official_last_name": "LEON",
        "authorized_official_first_name": "VERENICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-487-8192"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Podiatry Nellness Network Corp",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.