Active NPI
Sole Purpose Podiatry, LLC
- Podiatrist
- Columbia, MD
National Provider Identifier
1366078842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- SOLE PURPOSE PODIATRY, LLC
- Practice address
- 8900 Columbia 100 Pkwy
Columbia, MD 21045-2336 - Phone
- (302) 526-9582
- NPI assigned
- Mar 17, 2020
- 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
- Dr. Fanta Vaughn Morgan-Kitson, DPM
- Title
- Owner/Podiatrist
- Phone
- (302) 538-0575
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | Primary |
Addresses
Primary practice location
8900 Columbia 100 Pkwy
Columbia, MD 21045-2336
Mailing address
PO Box 813
Smyrna, DE 19977-0813
Phone (302) 526-9582
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
Enrollment records 1
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.
-
- Foot & Ankle Surgery Podiatrist
- Dover, DE
- NPI 1376756080
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584403200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1615334400000",
"number": "1366078842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 813",
"city": "SMYRNA",
"state": "DE",
"postal_code": "199770813",
"telephone_number": "302-526-9582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8900 COLUMBIA 100 PKWY",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210452336",
"telephone_number": "302-526-9582"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOLE PURPOSE PODIATRY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-17",
"last_updated": "2021-03-10",
"certification_date": "2021-03-10",
"status": "A",
"authorized_official_last_name": "MORGAN-KITSON",
"authorized_official_first_name": "FANTA",
"authorized_official_middle_name": "VAUGHN",
"authorized_official_title_or_position": "OWNER/PODIATRIST",
"authorized_official_telephone_number": "302-538-0575",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; 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.