Organization Active NPI

Feet First, PLLC

  • Podiatrist
  • Cookeville, TN
National Provider Identifier
1417469552
Registry record updated Oct 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
FEET FIRST, PLLC
Practice address
345 W Broad St
Cookeville, TN 38501-2331
Phone
(931) 854-9222
Fax
(931) 954-9902
NPI assigned
Oct 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2017

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

Authorized official

Name
Carole Rosenbaum, DPMNPI 1538179767
Title
Owner
Phone
(931) 432-6497

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)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

345 W Broad St
Cookeville, TN 38501-2331

Mailing address

345 W Broad St
Cookeville, TN 38501-2331
Phone (931) 854-9222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180108002775 TN Part B Supplier - Clinic/Group Practice 0143589648 Receives reassigned benefits from 1 practitioner
Practice locations: Cookeville, TN

National Provider Directory

National Provider Directory

Locations

345 W Broad St
Ste 2
Cookeville, TN 38501
Phone (931) 854-9222

345 W Broad St
Cookeville, TN 38501
Phone (931) 528-2300

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1509321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509321600000",
    "number": "1417469552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 W BROAD ST",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012331",
            "telephone_number": "931-854-9222",
            "fax_number": "931-954-9902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 W BROAD ST",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012331",
            "telephone_number": "931-854-9222",
            "fax_number": "931-954-9902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FEET FIRST, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-30",
        "last_updated": "2017-10-30",
        "status": "A",
        "authorized_official_last_name": "ROSENBAUM",
        "authorized_official_first_name": "CAROLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-432-6497",
        "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 Cookeville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2017; 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.

Verify at the official NPI Registry.