Organization Active NPI

Holly a Sheets DPM PA

  • Podiatrist
  • Palatka, FL
National Provider Identifier
1639175235
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO2661 Issued in FL
Legal business name
HOLLY A SHEETS DPM PA
Practice address
800 Zeagler Dr
Ste 510
Palatka, FL 32177-3867
Phone
(386) 326-3553
Fax
(386) 326-3919
NPI assigned
Jun 28, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Holly A Sheets, DPM
Title
Physician
Phone
(386) 326-3553

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X PO2661 FL Primary

Addresses

Primary practice location

800 Zeagler Dr
Ste 510
Palatka, FL 32177-3867

Mailing address

PO Box 1962
Palatka, FL 32178-1962
Phone (386) 326-3553

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639175235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1962",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321781962",
            "telephone_number": "386-326-3553",
            "fax_number": "386-326-3919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ZEAGLER DR",
            "address_2": "STE 510",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321773867",
            "telephone_number": "386-326-3553",
            "fax_number": "386-326-3919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLY A SHEETS DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHEETS",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "386-326-3553",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO2661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palatka, 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.

Verify at the official NPI Registry.