Individual provider Active NPI

Audrey Delores Arthur, D.P.M.

  • Primary Podiatric Medicine Podiatrist
  • Virginia Beach, VA
National Provider Identifier
1447260823
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
0103000812 Issued in VA
Practice address
308 Horace Ave
Virginia Beach, VA 23462-2704
Phone
(757) 499-9646
Fax
(757) 671-6373
NPI assigned
Aug 9, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X 0103000812 VA Primary

Addresses

Primary practice location

308 Horace Ave
Virginia Beach, VA 23462-2704

Mailing address

308 Horace Ave
Virginia Beach, VA 23462-2704
Phone (757) 499-9646

Other identifiers 1

IdentifierTypeStateIssuer
93-3226-0MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0103000812VAMDPrimary Podiatric Medicine Podiatrist

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447260823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 HORACE AVE",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234622704",
            "telephone_number": "757-499-9646",
            "fax_number": "757-671-6373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 HORACE AVE",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234622704",
            "telephone_number": "757-499-9646",
            "fax_number": "757-671-6373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARTHUR",
        "first_name": "AUDREY",
        "middle_name": "DELORES",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "VA",
            "license": "0103000812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "93-3226-0",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.