Active NPI
Podiatry Nellness Network Corp
- Podiatrist
- Miami, FL
National Provider Identifier
1336984475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Behavior Technician
- Miami, FL
- NPI 1932926961
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.