Active NPI
Joan M McNeela, DPM
- Podiatrist
- Titusville, FL
National Provider Identifier
1831170133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PO 1457
- Practice address
- 1717 Garden St
Titusville, FL 32796-5002 - Phone
- (321) 267-5577
- Fax
- (321) 264-0724
- NPI assigned
- Nov 14, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | PO 1457 | FL | Primary |
Addresses
Primary practice location
1717 Garden St
Titusville, FL 32796-5002
Mailing address
1717 Garden St
Titusville, FL 32796-5002
Phone (321) 267-5577
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720451446 | Other | FL | GROUP NPI |
| 87790 | Other | FL | FLORIDA BLUE IDENTIFICATION NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PO 1457 | FL | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464134400000",
"number": "1831170133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1717 GARDEN ST",
"city": "TITUSVILLE",
"state": "FL",
"postal_code": "327965002",
"telephone_number": "321-267-5577",
"fax_number": "321-264-0724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717 GARDEN ST",
"city": "TITUSVILLE",
"state": "FL",
"postal_code": "327965002",
"telephone_number": "321-267-5577",
"fax_number": "321-264-0724"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNEELA",
"first_name": "JOAN",
"middle_name": "M",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-11-14",
"last_updated": "2016-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "FL",
"license": "PO 1457",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1720451446",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA BLUE IDENTIFICATION NUMBER",
"identifier": "87790",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Titusville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.