Individual provider Active NPI

Valarie L Ikerd, DPM

  • Podiatrist
  • Joplin, MO
National Provider Identifier
1689600918
Registry record updated Aug 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
000729 Issued in MO
Practice address
1501 E 20TH St
Joplin, MO 64804-0928
Phone
(417) 659-9395
Fax
(417) 659-9565
NPI assigned
Jun 26, 2006
Last updated
Aug 9, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 000729 MO Primary

Addresses

Primary practice location

1501 E 20TH St
Joplin, MO 64804-0928

Mailing address

1501 E 20TH St
Joplin, MO 64804-0928
Phone (417) 659-9395

Other identifiers 4

IdentifierTypeStateIssuer
112612OtherMOBCBS MO
284033OtherMOHEALTHLINK
431842730OtherMOTRICARE WEST
308222207MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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

Enrollment IDStateProvider typePAC IDDetails
I20040117000106 MO Practitioner - Podiatry 1850292376 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1801 W 32ND St
Building C Suite 102
Joplin, MO 64804-1528
Phone (417) 622-0648

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue18
Removal of nail tissue868
Removal or shaving of skin growth241

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000729MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Shoal Creek Foot and Ankle Center LLC CurrentSince Oct 1, 2024 Accepting new patients
Shoal Creek Foot and Ankle Center LLC CurrentSince Oct 1, 2024 Accepting new patients
Southwest Missouri Foot Clinics, Inc. Podiatrist Past Accepting new patients
Shoal Creek Foot and Ankle Center LLC Podiatrist Past Accepting new patients

Locations

1801 W 32nd St
Bldg C
Joplin, MO 64804
Phone (417) 622-0648

4136 S McCann Ct
Springfield, MO 65804
Phone (417) 755-7612

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344470400000",
    "number": "1689600918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 E 20TH ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648040928",
            "telephone_number": "417-659-9395",
            "fax_number": "417-659-9565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 E 20TH ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648040928",
            "telephone_number": "417-659-9395",
            "fax_number": "417-659-9565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IKERD",
        "first_name": "VALARIE",
        "middle_name": "L",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2012-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MO",
            "license": "000729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MO",
            "identifier": "112612",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "284033",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE WEST",
            "identifier": "431842730",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "308222207",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

Verify at the official NPI Registry.