Tishauna Footman

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

270287 Issued in NY

Practice address

2527 Glebe Ave
Bronx, NY 10461-3109

Phone

(718) 904-4400

NPI assigned

Dec 17, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1450310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450310400000",
    "number": "1457716565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2527 GLEBE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104613109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2527 GLEBE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104613109",
            "telephone_number": "718-904-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOOTMAN",
        "first_name": "TISHAUNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-17",
        "last_updated": "2015-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "270287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grigoriy Fooks, DNP, NP-C, RN, ONC
• Foot and Ankle Associates of the Bronx
• Foot Associates of New York PC
• Jay Bradley Foote, MD
• Gloria Footman
• Footprints Mental Health Counseling, P. C.
• Deirdre Forbes
• Denise A Forbes, FNP
• Jodi-Ann Forbes, LPN
• Kadian Thersa Forbes, FNP

• Licensed Practical Nurse in Bronx, NY
• Providers in Bronx, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2015; 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.