Organization Active NPI

Podiatry Home Care LLC

  • Primary Podiatric Medicine Podiatrist
  • Norfolk, VA
National Provider Identifier
1750730628
Registry record updated Jun 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
0103000695 Issued in VA
Legal business name
PODIATRY HOME CARE LLC
Practice address
1567 Aspin Ave
Suite B
Norfolk, VA 23502-1532
Phone
(757) 965-4765
Fax
(757) 965-4765
NPI assigned
Jun 10, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2016

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

Authorized official

Name
Dr. Edna Holmes, D.P.M.
Title
Owner
Phone
(100) 000-0000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213EP1101X 0103000695 VA Primary

Addresses

Primary practice location

1567 Aspin Ave
Suite B
Norfolk, VA 23502-1532

Mailing address

7750 Ogden Ave
Apt a
Norfolk, VA 23505-2069
Phone (100) 000-0000

National Provider Directory

National Provider Directory

Locations

1576 Aspin St
Ste B
Norfolk, VA 23502
Phone (703) 216-5214

NPI Registry JSON

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

{
    "created_epoch": "1465516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467072000000",
    "number": "1750730628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7750 OGDEN AVE",
            "address_2": "APT A",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235052069",
            "telephone_number": "100-000-0000",
            "fax_number": "757-965-4765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1567 ASPIN AVE",
            "address_2": "SUITE B",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235021532",
            "telephone_number": "757-965-4765",
            "fax_number": "757-965-4765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PODIATRY HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-10",
        "last_updated": "2016-06-28",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "EDNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "100-000-0000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "VA",
            "license": "0103000695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2016; 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.