Organization Active NPI

Palm City Podiatry, Inc.

  • Foot & Ankle Surgery Podiatrist
  • Palm City, FL
National Provider Identifier
1497294276
Registry record updated May 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO3537 Issued in FL
Legal business name
PALM CITY PODIATRY, INC.
Practice address
3131 SW Mapp Rd
Palm City, FL 34990-3328
Phone
(774) 551-6841
NPI assigned
Feb 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2017

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

Authorized official

Name
Dr. Kristin Blanchet, DPMNPI 1184979841
Title
President/Physician
Phone
(774) 551-6841

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
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X PO3537 FL Primary

Addresses

Primary practice location

3131 SW Mapp Rd
Palm City, FL 34990-3328

Mailing address

3131 SW Mapp Rd
Palm City, FL 34990-3328

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170501000476 FL Part B Supplier - Clinic/Group Practice 8820375843 Receives reassigned benefits from 2 practitioners
Practice locations: Jupiter, FL; Palm City, FL
O20170728001203 FL DME Supplier - Physician - Podiatry 8820375843 Practice locations: Palm City, FL

National Provider Directory

National Provider Directory

Locations

210 Jupiter Lakes Blvd
Ste 105
Jupiter, FL 33458
Phone (561) 575-7875

3131 SW Mapp Rd
Palm City, FL 34990
Phone (772) 266-8499

Practitioners & affiliated clinicians

Practitioners 4

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": "1487030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493596800000",
    "number": "1497294276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 SW MAPP RD",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349903328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 SW MAPP RD",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349903328",
            "telephone_number": "774-551-6841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM CITY PODIATRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-14",
        "last_updated": "2017-05-01",
        "status": "A",
        "authorized_official_last_name": "BLANCHET",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "774-551-6841",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.