Foot Healers Holdings - St. Louis, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

2014017376 Issued in MO

Legal business name

FOOT HEALERS HOLDINGS - ST. LOUIS, LLC

Practice address

1393 Big Bend Rd Ste a
Ballwin, MO 63021-7601

Phone

(636) 496-0022

NPI assigned

Sep 19, 2014

Organization subpart

No

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

Authorized official

Name

Jennie L Bell

Title

Group Practice Manager

Phone

(636) 777-4500

Specialties & licenses 1

Addresses

Other names 1

• Foot Healers Doing business as

Locations

Practitioners 1

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

• Tiffany Monique Delutis, DPM

  • Podiatrist
  • Ballwin, MO
  • NPI 1801182720
  NPD (past)

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

{
    "created_epoch": "1411084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411084800000",
    "number": "1366844532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28223",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631320223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1393 BIG BEND RD STE A",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630217601",
            "telephone_number": "636-496-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT HEALERS HOLDINGS - ST. LOUIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-19",
        "last_updated": "2014-09-19",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "JENNIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "GROUP PRACTICE MANAGER",
        "authorized_official_telephone_number": "636-777-4500"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MO",
            "license": "2014017376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foot Healers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fitzpatrick Pharmacy Inc
• Jocelyn M Flowers, MA
• Dustin Flynn, ATC, CSCS
• Nancy Patterson Flynn, MS, ATC, CSCS
• Foot & Ankle Center, LLC
• Emily Forrest
• Sarah Jane Foster, RN
• Timothy M Foster, D.C.
• Melyssa J Frederick
• Jayna Quinn Freeman

• Durable Medical Equipment & Medical Supplies in Ballwin, MO
• Providers in Ballwin, MO by specialty
• Durable Medical Equipment & Medical Supplies in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2014; 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.