Tiffany Monique Delutis, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

2014017376 Issued in MO

Practice address

1393 Big Bend Rd Ste a
Ballwin, MO 63021-7601

Phone

(636) 496-0022

Fax

(636) 825-9756

NPI assigned

Jun 20, 2011

Last updated

Aug 19, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Foot Healers Holdings - St. Louis, LLC

  dba Foot Healers

  • Durable Medical Equipment & Medical Supplies
  • Ballwin, MO
  • NPI 1366844532
  NPD (past)

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

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408406400000",
    "number": "1801182720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1726 CLARKSON RD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630174976",
            "telephone_number": "636-777-4500",
            "fax_number": "636-777-4503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1393 BIG BEND RD STE A",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630217601",
            "telephone_number": "636-496-0022",
            "fax_number": "636-825-9756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELUTIS",
        "first_name": "TIFFANY",
        "middle_name": "MONIQUE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-20",
        "last_updated": "2014-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MO",
            "license": "2014017376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kay Lynn Day, FNP
• Christopher De Geer, D.C. M.S.
• Darren M Deist, PTA
• Carey Delargy, LCSW
• Jenn Delf, MPT
• Luann Carmody Denten, LPC
• Laura G Denunzio, MD
• Rachel Anne Dickerson, M.D.
• Dierbergs Markets Inc (Dierbergs Lafayette Pharmacy)
• Lisa S Dierdorf, LPC

• Podiatrist in Ballwin, MO
• Providers in Ballwin, MO by specialty
• Podiatrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; 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.