Individual provider Active NPI

Catherine Birdsall Healy

  • Podiatrist
  • Matthews, NC
National Provider Identifier
1508048216
Registry record updated Dec 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
127 Issued in NC
Practice address
733 Plantation Estates Dr
Matthews, NC 28105-9116
Phone
(704) 708-9943
NPI assigned
Dec 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 127 NC Primary

Addresses

Primary practice location

733 Plantation Estates Dr
Matthews, NC 28105-9116

Mailing address

PO Box 78619
Charlotte, NC 28271-7037
Phone (704) 708-9943

Other identifiers 1

IdentifierTypeStateIssuer
243059OtherNCCIGNA-MEDICARE

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

LicenseStateTypeSpecialty
127NCMDPodiatrist

NPI Registry JSON

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196726400000",
    "number": "1508048216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 78619",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282717037",
            "telephone_number": "704-708-9943",
            "fax_number": "866-741-8485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 PLANTATION ESTATES DR",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281059116",
            "telephone_number": "704-708-9943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEALY",
        "first_name": "CATHERINE",
        "middle_name": "BIRDSALL",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-04",
        "last_updated": "2007-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NC",
            "license": "127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA-MEDICARE",
            "identifier": "243059",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Matthews, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; 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.