Organization Active NPI

Schussler Footcare Centers, PLC

  • Podiatrist
  • Clarksville, TN
National Provider Identifier
1639376221
Registry record updated Dec 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
0305 Issued in TN
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

Updated by the provider on Dec 20, 2012

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)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1942200076OtherTNINDV NPI NUMBER
3353012MedicaidTN
1639376221OtherTNGROUP NPI
3040221OtherTNBCBS

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.