Individual provider Active NPI

James Ashley Washburn, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Saint Petersburg, FL
National Provider Identifier
1831481035
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO3747 Issued in FL
Practice address
6711 38TH Ave N
Saint Petersburg, FL 33710-1536
Phone
(727) 527-1249
Fax
(727) 521-1240
NPI assigned
May 5, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 256 AR
Foot & Ankle Surgery Podiatrist 213ES0103X 3120 TX
Foot & Ankle Surgery Podiatrist 213ES0103X PO3747 FL Primary

Addresses

Primary practice location

6711 38TH Ave N
Saint Petersburg, FL 33710-1536

Mailing address

6711 38TH Ave N
Saint Petersburg, FL 33710-1536
Phone (727) 527-1249

Other identifiers 2

IdentifierTypeStateIssuer
204785717MedicaidAR
121710900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231129003761 FL Practitioner - Podiatry 7315170123 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6711 38TH Ave N
Washburn Foot and Ankle
Saint Petersburg, FL 33710-1536
Phone (727) 527-1249

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue132
Removal of nail tissue341
Removal or shaving of skin growth269
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
256ARMDFoot & Ankle Surgery Podiatrist
PO3747FLMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Total Foot Care PA Foot & Ankle Surgery CurrentSince Feb 23, 2024 Accepting new patients

Locations

2010 59th St W
Ste 2400
Bradenton, FL 34209
Phone (941) 792-2300

6711 38th Ave N
St Petersburg, FL 33710
Phone (727) 344-3200

Interoperability endpoints

  • Direct secure messaging: jwashburn@faacolr-ar.direct.office.nextgen.com

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1304553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1831481035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6711 38TH AVE N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337101536",
            "telephone_number": "727-527-1249",
            "fax_number": "727-521-1240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6711 38TH AVE N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337101536",
            "telephone_number": "727-527-1249",
            "fax_number": "727-521-1240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHBURN",
        "first_name": "JAMES",
        "middle_name": "ASHLEY",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-05",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AR",
            "license": "256",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "3120",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204785717",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121710900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Petersburg, FL

Sources for this page

Verify at the official NPI Registry.