Active NPI
Harlis Family Foot and Ankle LLC
- Foot & Ankle Surgery Podiatrist
- Port Saint Lucie, FL
National Provider Identifier
1730901216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- HARLIS FAMILY FOOT AND ANKLE LLC
- Practice address
- 475 NW Prima Vista Blvd Ste 209
Port Saint Lucie, FL 34983-8731 - Phone
- (772) 210-3339
- NPI assigned
- Oct 28, 2024
- Last updated
- Oct 28, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kristyn Billings
- Title
- Credentialing
- Phone
- (412) 655-4362
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | NU | Primary |
Addresses
Primary practice location
475 NW Prima Vista Blvd Ste 209
Port Saint Lucie, FL 34983-8731
Mailing address
475 NW Prima Vista Blvd Ste 209
Port Saint Lucie, FL 34983-8731
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P04038 | Other | FL | STATE LIC |
National Provider Directory
National Provider Directory- Tax ID family
- Harlis Family Foot and Ankle LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Harlis Family Foot and Ankle
- Foot & Ankle Surgery Podiatrist
- Port Saint Lucie, FL
- NPI 1942974563
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Podiatrist
- Port Saint Lucie, FL
- NPI 1992156327
-
- Primary Podiatric Medicine Podiatrist
- Port Saint Lucie, FL
- NPI 1801280862
-
- Anatomic Pathology Physician
- Pompano Beach, FL
- NPI 1295092583
-
- Anatomic Pathology & Clinical Pathology Physician
- Pompano Beach, FL
- NPI 1447234133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730073600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730073600000",
"number": "1730901216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "475 NW PRIMA VISTA BLVD STE 209",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349838731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475 NW PRIMA VISTA BLVD STE 209",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349838731",
"telephone_number": "772-210-3339"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARLIS FAMILY FOOT AND ANKLE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-28",
"last_updated": "2024-10-28",
"certification_date": "2024-10-28",
"status": "A",
"authorized_official_last_name": "BILLINGS",
"authorized_official_first_name": "KRISTYN",
"authorized_official_title_or_position": "CREDENTIALING",
"authorized_official_telephone_number": "412-655-4362"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LIC",
"identifier": "P04038",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Port Saint Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.