Cheyenne Foot & Ankle Inc

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

Legal business name

CHEYENNE FOOT & ANKLE INC

Practice address

2975 Broadmoor Valley Rd
Ste 104
Colorado Springs, CO 80906-3981

Phone

(719) 576-2080

Fax

(719) 576-2248

NPI assigned

Jan 17, 2006

Last updated

Mar 1, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer V Yull, D.P.M.NPI 1548240609

Title

President

Phone

(719) 576-2080

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer V Yull, D.P.M.

  • Primary Podiatric Medicine Podiatrist
  • Colorado Springs, CO
  • NPI 1548240609
  Medicare reassignment NPD Authorized official
• Tim Carlsen, D.P.M.

  • Primary Podiatric Medicine Podiatrist
  • Colorado Springs, CO
  • NPI 1033199070
  NPD (past)
• Christopher Richard Dipersio, DPM

  • Podiatrist
  • Pueblo, CO
  • NPI 1720050743
  NPD (past)
• Jeremy A McVay, DPM

  • Foot & Ankle Surgery Podiatrist
  • Colorado Springs, CO
  • NPI 1831181536
  NPD (past)

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298937600000",
    "number": "1851371942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2975 BROADMOOR VALLEY RD",
            "address_2": "STE 104",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809063981",
            "telephone_number": "719-576-2080",
            "fax_number": "719-576-2248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2975 BROADMOOR VALLEY RD",
            "address_2": "STE 104",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809063981",
            "telephone_number": "719-576-2080",
            "fax_number": "719-576-2248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEYENNE FOOT & ANKLE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-17",
        "last_updated": "2011-03-01",
        "status": "A",
        "authorized_official_last_name": "YULL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-576-2080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "52984834",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "658823",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luna May Chester
• Baylee Chestnut
• Amber Noelle Chevalier
• Diane Chew, PSY.D
• Kathleen A Chewakin, PT
• Cheyenne Mountain Care and Rehab
• Cheyenne Mountain Children's Dentistry PC
• Cheyenne Mountain Counseling & Wellness Center
• Cheyenne Mountain Dental Group
• Cheyenne Mountain Family Practice

• Primary Podiatric Medicine Podiatrist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Primary Podiatric Medicine Podiatrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.