Active NPI
Paulette Jean Nairne, DPM
- Podiatrist
- Duncanville, TX
National Provider Identifier
1720180664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 1468
- Practice address
- 407 N Cedar Ridge Dr
Ste 225
Duncanville, TX 75116-3169 - Phone
- (972) 816-6030
- Fax
- (972) 299-9998
- NPI assigned
- Sep 1, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 1468 | TX | Primary |
Addresses
Primary practice location
407 N Cedar Ridge Dr
Ste 225
Duncanville, TX 75116-3169
Mailing address
407 N Cedar Ridge Dr
Ste 225
Duncanville, TX 75116-3169
Phone (972) 816-6030
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 018595101 | Medicaid | TX | |
| 177282401 | Medicaid | TX | |
| 018595102 | Medicaid | TX |
Other names 1
- Dr. P J Nairne
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1468 | TX | MD | Podiatrist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Podiatrist
- Fort Worth, TX
- NPI 1518112499
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228176000000",
"number": "1720180664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 N CEDAR RIDGE DR",
"address_2": "STE 225",
"city": "DUNCANVILLE",
"state": "TX",
"postal_code": "751163169",
"telephone_number": "972-816-6030",
"fax_number": "972-299-9998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 N CEDAR RIDGE DR",
"address_2": "STE 225",
"city": "DUNCANVILLE",
"state": "TX",
"postal_code": "751163169",
"telephone_number": "972-816-6030",
"fax_number": "972-299-9998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAIRNE",
"first_name": "PAULETTE",
"middle_name": "JEAN",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-01",
"last_updated": "2008-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "TX",
"license": "1468",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "018595101",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "177282401",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "018595102",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "P",
"last_name": "NAIRNE",
"middle_name": "J",
"prefix": "DR.",
"credential": "DPM",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Duncanville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.