Jerwana Laster, DPM

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

07001149A Issued in IN

Practice address

10935 Beechwood Dr E
Indianapolis, IN 46280-1222

Phone

(317) 441-1093

Fax

(317) 669-2739

NPI assigned

Sep 5, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IN, TN, MO, IL4 enrollments

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 4

Specialty

Podiatry

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

We Heel the Sole Podiatry LLCGroup PAC ID 0648579243, shared by 2 NPIs, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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

• We Heel the Sole Podiatry LLC

  • Primary Podiatric Medicine Podiatrist
  • Indianapolis, IN
  • NPI 1457713406
  Medicare reassignment Authorized official
• We Heel the Sole Podiatry LLC

  • Primary Podiatric Medicine Podiatrist
  • Memphis, TN
  • NPI 1558818666

  IL, MO

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476230400000",
    "number": "1528317518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10935 BEECHWOOD DR E",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462801222",
            "telephone_number": "317-441-1093",
            "fax_number": "317-669-2739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10935 BEECHWOOD DR E",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462801222",
            "telephone_number": "317-441-1093",
            "fax_number": "317-669-2739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASTER",
        "first_name": "JERWANA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-05",
        "last_updated": "2016-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "IN",
            "license": "07001149A",
            "primary": true
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "TN",
            "license": "794",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IN LICENSE",
            "identifier": "07001149B",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TN LICENSE",
            "identifier": "794",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aimbriel Lasley, CLC
• Andrew Everett Lasley, PA-C
• Renee Lyn Lassinger, RN, MSN, APN
• Johanna Elizabeth Lassiter, D.P.T.
• Charles Emery Laster
• Marciana Lee Laster, M.D.
• Jeffrey Lastfogel, MD
• Sara Laswell, OTR/L
• Lately Homes LLC
• Jeff B Latham, MD

• Primary Podiatric Medicine Podiatrist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Primary Podiatric Medicine Podiatrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.