Organization Active NPI

Nettesheim Family Footcare

  • Point of Service
  • Saint Louis, MO
National Provider Identifier
1467993394
Registry record updated Mar 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
000531 Issued in MO
Legal business name
NETTESHEIM FAMILY FOOTCARE
Practice address
4305 Butler Hill Rd
Saint Louis, MO 63128-3718
Phone
(314) 839-9009
NPI assigned
Mar 11, 2017
Last updated
Mar 11, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2017

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

Authorized official

Name
Beth Conway
Title
Reception
Phone
(314) 839-9009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X 000531 MO Primary

Addresses

Primary practice location

4305 Butler Hill Rd
Saint Louis, MO 63128-3718

Mailing address

4305 Butler Hill Rd
Saint Louis, MO 63128-3718

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7405/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1489190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489190400000",
    "number": "1467993394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4305 BUTLER HILL RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631283718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4305 BUTLER HILL RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631283718",
            "telephone_number": "314-839-9009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NETTESHEIM FAMILY FOOTCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-11",
        "last_updated": "2017-03-11",
        "status": "A",
        "authorized_official_last_name": "CONWAY",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "RECEPTION",
        "authorized_official_telephone_number": "314-839-9009"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "MO",
            "license": "000531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2017; 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.