NPIMap

Organization Active NPI

Black Eyed Peas Investments, Inc.

Doing business as Foot Solutions.

  • Customized Equipment (DME)
  • Cape Coral, FL
National Provider Identifier
1487848206
Registry record updated Mar 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
PED 129 Issued in FL
Legal business name
BLACK EYED PEAS INVESTMENTS, INC.
Doing business as
Foot Solutions.
Practice address
2311 Santa Barbara Blvd
Suite 105
Cape Coral, FL 33991-4394
Phone
(239) 458-3360
Fax
(239) 242-1095
NPI assigned
Sep 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2008

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

Authorized official

Name
Shepherd Lee Beasley, C. PEDNPI 1518016492
Title
Owner/ Manager
Phone
(239) 458-3360

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
Customized Equipment (DME) 332BC3200X PED 129 FL Primary

Addresses

Primary practice location

2311 Santa Barbara Blvd
Suite 105
Cape Coral, FL 33991-4394

Mailing address

2311 Santa Barbara Blvd
Suite 105
Cape Coral, FL 33991-4394
Phone (239) 458-3360

Other names 1

  • Foot Solutions. Doing business as

National Provider Directory

National Provider Directory

Locations

2311 Santa Barbara Blvd
Ste 105
Cape Coral, FL 33991
Phone (239) 458-3360

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204848000000",
    "number": "1487848206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 SANTA BARBARA BLVD",
            "address_2": "SUITE 105",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339914394",
            "telephone_number": "239-458-3360",
            "fax_number": "239-242-1095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 SANTA BARBARA BLVD",
            "address_2": "SUITE 105",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339914394",
            "telephone_number": "239-458-3360",
            "fax_number": "239-242-1095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK EYED PEAS INVESTMENTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-05",
        "last_updated": "2008-03-07",
        "status": "A",
        "authorized_official_last_name": "BEASLEY",
        "authorized_official_first_name": "SHEPHERD",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER/ MANAGER",
        "authorized_official_telephone_number": "239-458-3360",
        "authorized_official_credential": "C. PED"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "FL",
            "license": "PED 129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foot Solutions.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; 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.