Individual provider Active NPI

Therese M Hixon, D.P.M

  • Podiatrist
  • Naples, FL
National Provider Identifier
1497747638
Registry record updated Feb 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO2921 Issued in FL
Practice address
681 Goodlette Rd N
#160
Naples, FL 34102-5458
Phone
(239) 263-0200
Fax
(239) 263-8435
NPI assigned
Aug 15, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO2921 FL Primary

Addresses

Primary practice location

681 Goodlette Rd N
#160
Naples, FL 34102-5458

Mailing address

681 Goodlette Rd N
#160
Naples, FL 34102-5458
Phone (239) 263-0200

Other identifiers 1

IdentifierTypeStateIssuer
340239800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100218000614 FL Practitioner - Podiatry 9032253729 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Moorings IncorporatedGroup PAC ID 4688832066, shared by 2 NPIs, 116 clinicians
Foot and Ankle Management Group LLCGroup PAC ID 1557385093, 6 clinicians

Practice addresses (Care Compare)

120 Moorings Park Dr
Naples, FL 34105-2122

130 Moorings Park Dr
Naples, FL 34105-2122

681 Goodlette Rd
Suite 160
Naples, FL 34102-5457
Phone (239) 263-0200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue651
Removal of skin lesions37
Removal of nail tissue288
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO2921FLMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot and Ankle Management Group LLC Podiatrist CurrentSince Jul 30, 2001 Accepting new patients
Foot and Ankle MGMT PastSince Jul 30, 2001 Accepting new patients

Locations

681 Goodlette Rd
#N160
Naples, FL 34102
Phone (239) 263-0200

1865 Veterans Park Dr
Ste 202
Naples, FL 34109
Phone (239) 591-3340

681 Goodlette Rd
Ste 160
Naples, FL 34102
Phone (239) 263-0200

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361836800000",
    "number": "1497747638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "681 GOODLETTE RD N",
            "address_2": "#160",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025458",
            "telephone_number": "239-263-0200",
            "fax_number": "239-263-8435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "681 GOODLETTE RD N",
            "address_2": "#160",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025458",
            "telephone_number": "239-263-0200",
            "fax_number": "239-263-8435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIXON",
        "first_name": "THERESE",
        "middle_name": "M",
        "name_prefix": "Miss",
        "credential": "D.P.M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-15",
        "last_updated": "2013-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO2921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340239800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.