Foot Essentials LLC
Organization Active NPI Podiatrist · Signal Mountain, TN
NPI 1376017871 · NPPES record last updated Jan 30, 2019
Key facts
- NPI
- 1376017871
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Podiatrist 213E00000X
- Legal business name
- FOOT ESSENTIALS LLC
- Practice address
- 635 Alexian Way
Signal Mountain, TN 37377-1958 - Phone
- (309) 826-3774
- NPI assigned
- Jan 17, 2019
- Organization subpart
- No
Authorized official
- Name
- Rachna Gupta, DPM
- Title
- Owner
- Phone
- (309) 826-3774
Practitioners 1
-
Rachna Gupta, DPM
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190318001366 | TN | Part B Supplier - Clinic/Group Practice | 7416297080 |
Receives reassigned benefits from 1 practitioner Practice locations: Signal Mountain, TN |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist |
213E00000X | Yes |
Addresses
Primary practice location
635 Alexian Way
Signal Mountain, TN 37377-1958
Mailing address
PO Box 21489
Chattanooga, TN 37424-0489
Phone (309) 826-3774
Other providers in Signal Mountain, TN
- John English
- Jessica Louise Everett
- Whitney Danielle Fagio
- Guy Franklin Fain III
- Family Medical Therapies, PLLC
- Kimberly Fortney
- Freedom Medical Services PLLC
- Kimberly Holliday Fugate
- Sara Phelps Gibson
- Dalton Rielly Grayson
All providers in Signal Mountain, TN · Podiatrist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.