Active NPI
Well Heeled Inc
- Prosthetic/Orthotic Supplier
- St Augustine, FL
National Provider Identifier
1609897750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- WELL HEELED INC
- Practice address
- 1972 US Highway 1 S
St Augustine, FL 32086-4233 - Phone
- (904) 819-0332
- Fax
- (904) 819-9645
- NPI assigned
- Jul 22, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark G Schmitt
- Title
- Owner
- Phone
- (904) 819-0332
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
1972 US Highway 1 S
St Augustine, FL 32086-4233
Mailing address
1972 US Highway 1 S
St Augustine, FL 32086-4233
Phone (904) 819-0332
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M2786 | Other | FL | BCBS OF FL |
National Provider Directory
National Provider DirectoryLocations
1972 US Highway 1 S
Saint Augustine, FL 32086
Phone (904) 819-0332
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153526400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1609897750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1972 US HIGHWAY 1 S",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320864233",
"telephone_number": "904-819-0332",
"fax_number": "904-819-9645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1972 US HIGHWAY 1 S",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320864233",
"telephone_number": "904-819-0332",
"fax_number": "904-819-9645"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELL HEELED INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-22",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SCHMITT",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "904-819-0332"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF FL",
"identifier": "M2786",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.