Marie-Claire D Villanueva, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PO2657 Issued in FL

Practice address

227 Sykes Loop Dr
Merritt Island, FL 32953-3074

Phone

(321) 213-0249

Fax

(866) 590-7237

NPI assigned

Oct 29, 2006

Last updated

Dec 29, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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 1

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Marie-Claire Villanueva DPM PA

  • Podiatrist
  • Merritt Island, FL
  • NPI 1659770295
  NPD Authorized official
• Marie Claire Villanueva, DPM, PA

  • Podiatrist
  • Merritt Island, FL
  • NPI 1558706911
  Authorized official Same address or phone
• Mel-Mar Enterprises, Inc

  • Assisted Living Facility
  • Rockledge, FL
  • NPI 1609129840
  NPD (past)

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

{
    "created_epoch": "1162080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1649356957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 SYKES LOOP DR",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329533074",
            "telephone_number": "321-213-0249",
            "fax_number": "866-590-7237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 SYKES LOOP DR",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329533074",
            "telephone_number": "321-213-0249",
            "fax_number": "866-590-7237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLANUEVA",
        "first_name": "MARIE-CLAIRE",
        "middle_name": "D",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-29",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO2657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "390453900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordyn Veres
• Veritas Incare, LLC (Cedar Creek)
• Veritas Senior Living, LLC
• Prerna Vijayvargiya, MD
• Kristie Marie Villanueva, RN
• Robert A Ville, DC
• Risa L Vinarub, DPM
• Vip Neurology
• Frederick H Waggener, DDS
• William Cole Waggener IV, DDS

• Podiatrist in Merritt Island, FL
• Providers in Merritt Island, FL by specialty
• Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; 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.