NPIMap

Individual provider Active NPI

Kaitlyn Sharpe

  • Foot & Ankle Surgery Podiatrist
  • Livonia, MI
National Provider Identifier
1760919864
Registry record updated Nov 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
5901400382 Issued in MI
Practice address
37595 7 Mile Rd # 370
Livonia, MI 48152-1003
Phone
(248) 258-0001
NPI assigned
May 19, 2017
Last updated
Nov 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 5901400382 MI Primary

Addresses

Primary practice location

37595 7 Mile Rd # 370
Livonia, MI 48152-1003

Mailing address

313 Moonlite CT
Clarkston, MI 48348-1481

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kaitlyn.sharpe.1@11960.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200722003864 MI Practitioner - Podiatry 2860816808 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foot Healthcare Associates, PCGroup PAC ID 5294705059, 8 clinicians

Practice addresses (Care Compare)

37595 Seven Mile Rd
Suite 370
Livonia, MI 48152-1003
Phone (734) 542-9305

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue46
Removal of skin lesions1-10
Removal of nail tissue67
Removal or shaving of skin growth14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5901400382MIMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot Healthcare Associates P.C. Foot & Ankle Surgery CurrentSince Aug 1, 2020 Accepting new patients
Foot Healthcare Associates, PC Foot & Ankle Surgery CurrentSince Aug 1, 2020 Accepting new patients

Locations

32270 Telegraph Rd
Ste 250
Bingham Farms, MI 48025
Phone (248) 258-0001

1225 S Latson Rd
Ste 320
Howell, MI 48843
Phone (248) 258-0001

37595 7 Mile Rd
Ste 370
Livonia, MI 48152
Phone (248) 258-0001

26850 Providence Pkwy
Ste 502
Novi, MI 48374
Phone (248) 258-0001

Interoperability endpoints

  • Direct secure messaging: ksharpe1888645@direct.trinity-health.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1495152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636934400000",
    "number": "1760919864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 MOONLITE CT",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483481481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37595 7 MILE RD # 370",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521003",
            "telephone_number": "248-258-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARPE",
        "first_name": "KAITLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-19",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901400382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kaitlyn.sharpe.1@11960.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "37595 7 Mile Rd # 370",
            "city": "Livonia",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481521003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.