Foot Care Clinic LLC

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

788 Issued in HI

Legal business name

FOOT CARE CLINIC LLC

Practice address

71-1411 Puu Kamanu LN
#82
Kailua Kona, HI 96740-8334

Phone

(808) 896-8847

Fax

(808) 325-1035

NPI assigned

Feb 28, 2007

Organization subpart

No

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

Authorized official

Name

Michiko Sato, APRN

Title

Owner

Phone

(808) 896-8847

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288051200000",
    "number": "1750418232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71-1411 PUU KAMANU LN",
            "address_2": "#82",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967408334",
            "telephone_number": "808-896-8847",
            "fax_number": "808-325-1035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71-1411 PUU KAMANU LN",
            "address_2": "#82",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967408334",
            "telephone_number": "808-896-8847",
            "fax_number": "808-325-1035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT CARE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2010-10-26",
        "status": "A",
        "authorized_official_last_name": "SATO",
        "authorized_official_first_name": "MICHIKO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-896-8847",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "163WE0900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Enterostomal Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "HI",
            "license": "788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "0000262147",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zena Ann Figueroa
• Sundara Amber Lotus Fitz-Gerald, LMFT
• Margaret Fitzgerald
• Nancy A. Fitzgerald, D.C.
• Andrew R. Fong, MD
• Gregory Formanack, R.PH.
• Maxima May Forslund
• Clayton Lee Foster, MD
• John Fox IV, LCSW
• Kristina M. Fox, OTR

• Gerontology Nurse Practitioner in Kailua Kona, HI
• Providers in Kailua Kona, HI by specialty
• Gerontology Nurse Practitioner in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; 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.