Nicole Maria Urrutia, DPM

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

PO2516 Issued in FL

Practice address

288 Valencia Cir
Saint Petersburg, FL 33716-1214

Phone

(813) 928-2993

NPI assigned

Jun 29, 2006

Last updated

Jun 13, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592006400000",
    "number": "1821026956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 VALENCIA CIR",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337161214",
            "telephone_number": "813-928-2993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 VALENCIA CIR",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337161214",
            "telephone_number": "813-928-2993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URRUTIA",
        "first_name": "NICOLE",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2020-06-13",
        "certification_date": "2020-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "FL",
            "license": "PO2516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Lawrence Upton, ARNP
• Urban Behavior Solutions LLC
• Urban Specialty Pharmacy LLC (Urban Specialty Pharmacy)
• Stephanie Urban
• Nina Lee Urgo
• US Coast Guard
• US Medical Solutions, LLC
• Uscg Clinic St Petersburg
• Uscg Sector St Petersburg Clinic (Uscg St. Petersburg Pharmacy)
• Usv Optical Inc

• Foot Surgery Podiatrist in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Foot Surgery Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.