Active NPI
Nickie Joseph, DPM
- Podiatrist
- Easton, PA
National Provider Identifier
1467424754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- SC005889
- Practice address
- 2111 Washington Blvd
Easton, PA 18042-3803 - Phone
- (610) 253-9617
- Fax
- (610) 253-6705
- NPI assigned
- Feb 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | SC005889 | PA | Primary |
Addresses
Primary practice location
2111 Washington Blvd
Easton, PA 18042-3803
Mailing address
2111 Washington Blvd
Easton, PA 18042-3803
Phone (610) 253-9617
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1014105520001 | Medicaid | PA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC005889 | PA | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lehigh Valley Bone Muscle and Joint | Podiatrist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Bethlehem, PA
- NPI 1700837671
Podiatrist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260835200000",
"number": "1467424754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2111 WASHINGTON BLVD",
"city": "EASTON",
"state": "PA",
"postal_code": "180423803",
"telephone_number": "610-253-9617",
"fax_number": "610-253-6705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2111 WASHINGTON BLVD",
"city": "EASTON",
"state": "PA",
"postal_code": "180423803",
"telephone_number": "610-253-9617",
"fax_number": "610-253-6705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSEPH",
"first_name": "NICKIE",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-02",
"last_updated": "2009-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "PA",
"license": "SC005889",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1014105520001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Easton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.