Organization Active NPI

Jane Walter D.P.M., P.a.

  • Clinic/Center
  • Palm Coast, FL
National Provider Identifier
1720388580
Registry record updated Apr 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
PO1735 Issued in FL
Legal business name
JANE WALTER D.P.M., P.A.
Practice address
11 Florida Park Dr N
Palm Coast, FL 32137-3866
Phone
(386) 445-4734
Fax
(386) 445-8411
NPI assigned
Oct 27, 2010
Last updated
Apr 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2013

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

Authorized official

Name
Jane Walter, D.P.M.
Title
Owner
Phone
(386) 445-4734

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X PO1735 FL Primary

Addresses

Primary practice location

11 Florida Park Dr N
Palm Coast, FL 32137-3866

Mailing address

11 Florida Park Dr N
Palm Coast, FL 32137-3866
Phone (386) 445-4734

National Provider Directory

National Provider Directory

Locations

11 Florida Park Dr N
Palm Coast, FL 32137
Phone (386) 251-5509

NPI Registry JSON

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

{
    "created_epoch": "1288137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366588800000",
    "number": "1720388580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 FLORIDA PARK DR N",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321373866",
            "telephone_number": "386-445-4734",
            "fax_number": "386-445-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 FLORIDA PARK DR N",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321373866",
            "telephone_number": "386-445-4734",
            "fax_number": "386-445-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANE WALTER D.P.M., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-27",
        "last_updated": "2013-04-22",
        "status": "A",
        "authorized_official_last_name": "WALTER",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-445-4734",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "PO1735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2013; 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.