Northwest Tennessee Foot Clinic, PLLC

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

0000000658 Issued in TN

Legal business name

NORTHWEST TENNESSEE FOOT CLINIC, PLLC

Practice address

326 Asbury Ave
Suite #102
Ripley, TN 38063-5577

Phone

(731) 221-2567

Fax

(731) 221-2560

NPI assigned

Jan 13, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Elizabeth T Lu, DPMNPI 1568496172

Title

Owner/President

Phone

(731) 287-3130

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizabeth T Lu, DPM

  • Foot & Ankle Surgery Podiatrist
  • Dyersburg, TN
  • NPI 1568496172
  NPD Authorized official

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

{
    "created_epoch": "1294876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301443200000",
    "number": "1821393422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 US HIGHWAY 51 BYP E",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380242040",
            "telephone_number": "731-287-3130",
            "fax_number": "731-287-3818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 ASBURY AVE",
            "address_2": "SUITE #102",
            "city": "RIPLEY",
            "state": "TN",
            "postal_code": "380635577",
            "telephone_number": "731-221-2567",
            "fax_number": "731-221-2560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST TENNESSEE FOOT CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-13",
        "last_updated": "2011-03-30",
        "status": "A",
        "authorized_official_last_name": "LU",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "731-287-3130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "TN",
            "license": "0000000658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole M. Mills, O.D., FAAO
• Felicia Gail Mitchell, RN
• Tracy Schneider Morris, DDS
• Myeyedr Optometry of Tennessee, LLC (MyEyeDr)
• Damien Eric Nethery, LCSW
• J W Nunn
• Melissa Olds Ozment, RN
• Thomas Ross Patterson, DDS
• Paige S Pettit, R.N.
• Kevin Wayne Pridmore, P.T.

• Foot Surgery Podiatrist in Ripley, TN
• Providers in Ripley, TN by specialty
• Foot Surgery Podiatrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2011; 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.