Organization Active NPI

Iowa Foot Care Center LLC

  • Podiatrist
  • Ames, IA
National Provider Identifier
1659842045
Registry record updated Oct 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
IOWA FOOT CARE CENTER LLC
Practice address
217 Duff Ave Ste 2
Ames, IA 50010-6609
Phone
(515) 233-0943
Fax
(515) 663-8052
NPI assigned
Dec 10, 2018
Last updated
Oct 16, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
KIMBERLY J HARMON DBA IOWA FOOT CARE CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 16, 2019

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

Authorized official

Name
Dr. Kimberly Jane Harmon, D.P.M.NPI 1063411387
Title
Physician/Owner
Phone
(515) 233-0943

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

217 Duff Ave Ste 2
Ames, IA 50010-6609

Mailing address

217 Duff Ave Ste 2
Ames, IA 50010-6609
Phone (515) 233-0943

Other identifiers 4

IdentifierTypeStateIssuer
POD50015OtherIAREGISTRATION OF RADIATION EMITTING MACHINES
00664OtherIAMEDICAL LICENSE
1710151OtherIACERTIFICATE OF REGISTRATION-IOWA CONTROLLED SUBSTANCES ACT
FH7999141OtherFEDERAL CONTROLLED SUBSTANCES REGISTRATION #

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kimberlyjharmondpm@iowafootcarecenter.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20191119002523 IA Part B Supplier - Clinic/Group Practice 5991137523 Receives reassigned benefits from 1 practitioner
Practice locations: Ames, IA
O20210528000972 IA DME Supplier - Physician - Podiatry 5991137523 Practice locations: Ames, IA

National Provider Directory

National Provider Directory
Part of
Kimberly J Eckert

Locations

217 Duff Ave
Ste 2
Ames, IA 50010
Phone (515) 233-0943

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4pSnl_JZLf4SWeoz2R9X-DNm9Ix_iwaz/
  • Direct secure messaging: kimberlyjharmondpm@iowafootcarecenter.cernerdirect.com

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1544400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571184000000",
    "number": "1659842045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 DUFF AVE STE 2",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500106609",
            "telephone_number": "515-233-0943",
            "fax_number": "515-663-8052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 DUFF AVE STE 2",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500106609",
            "telephone_number": "515-233-0943",
            "fax_number": "515-663-8052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IOWA FOOT CARE CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KIMBERLY J HARMON DBA IOWA FOOT CARE CENTER",
        "enumeration_date": "2018-12-10",
        "last_updated": "2019-10-16",
        "status": "A",
        "authorized_official_last_name": "HARMON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "515-233-0943",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTRATION OF RADIATION EMITTING MACHINES",
            "identifier": "POD50015",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "00664",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFICATE OF REGISTRATION-IOWA CONTROLLED SUBSTANCES ACT",
            "identifier": "1710151",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL CONTROLLED SUBSTANCES REGISTRATION #",
            "identifier": "FH7999141",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kimberlyjharmondpm@iowafootcarecenter.cernerdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": ".xml, .msg",
            "address_1": "217 Duff Ave Ste 2",
            "city": "Ames",
            "state": "IA",
            "country_code": "US",
            "postal_code": "500106609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ames, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.