Foot Bliss Wellness LLC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

FOOT BLISS WELLNESS LLC

Practice address

820 Flatbush Ave
Brooklyn, NY 11226-3102

Phone

(718) 772-9099

NPI assigned

Jun 22, 2026

Organization subpart

No

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

Authorized official

Name

Shirley May Nicholas

Title

Nurse Practitioner

Phone

(718) 772-9099

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1782086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782086400000",
    "number": "1386570919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 FLATBUSH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112263102",
            "telephone_number": "718-772-9099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 FLATBUSH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112263102",
            "telephone_number": "718-772-9099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT BLISS WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-22",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A",
        "authorized_official_last_name": "NICHOLAS",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "MAY",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "718-772-9099"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tatyana Fooksman
• Stephanie Marie Foos
• Foot and Ankle Care
• Foot and Ankle Surgeons of Brooklyn
• Foot and Ankle Wellness Podiatry PC
• Natalie R Foote, LMSW
• Shakira Footman, LPN
• For Eyes Corp
• Bernice Francesca Lecaros Forbes, MD
• Chenelle Orainna Forbes, LCSW

• Primary Care Nurse Practitioner in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Primary Care Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; 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.