Active NPI
Schussler Footcare Centers, PLC
- Podiatrist
- Clarksville, TN
National Provider Identifier
1639376221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 0305
- Legal business name
- SCHUSSLER FOOTCARE CENTERS, PLC
- Practice address
- 1762 Memorial Dr
Clarksville, TN 37043-4562 - Phone
- (931) 552-3338
- Fax
- (931) 647-4358
- NPI assigned
- Jun 28, 2007
- 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
- Mrs. Jacalyn S Schussler
- Title
- Manager
- Phone
- (931) 552-3338
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 0305 | TN | Primary |
Addresses
Primary practice location
1762 Memorial Dr
Clarksville, TN 37043-4562
Mailing address
1762 Memorial Dr
Clarksville, TN 37043-4562
Phone (931) 552-3338
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942200076 | Other | TN | INDV NPI NUMBER |
| 3353012 | Medicaid | TN | |
| 1639376221 | Other | TN | GROUP NPI |
| 3040221 | Other | TN | BCBS |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182988800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1355961600000",
"number": "1639376221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1762 MEMORIAL DR",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370434562",
"telephone_number": "931-552-3338",
"fax_number": "931-647-4358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1762 MEMORIAL DR",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370434562",
"telephone_number": "931-552-3338",
"fax_number": "931-647-4358"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCHUSSLER FOOTCARE CENTERS, PLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-28",
"last_updated": "2012-12-20",
"status": "A",
"authorized_official_last_name": "SCHUSSLER",
"authorized_official_first_name": "JACALYN",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "931-552-3338",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "TN",
"license": "0305",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDV NPI NUMBER",
"identifier": "1942200076",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3353012",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1639376221",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "3040221",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clarksville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.