Kristie Lynn Taddie, D.P.M.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

PO3265 Issued in FL

Practice address

6021 142ND Ave N
Clearwater, FL 33760-2822

Phone

(727) 796-6900

NPI assigned

Jul 27, 2006

Last updated

May 21, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

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

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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

• KG Health Partners, Inc

  • Podiatrist
  • Clearwater, FL
  • NPI 1487654042
  Medicare reassignment NPD
• Schierlinger Podiatry Center

  • Podiatrist
  • Edgewater, FL
  • NPI 1801214465

  Foot & Ankle Surgery

  Medicare reassignment NPD
• Community Health Solutions of America, Inc.

  • Case Management Agency
  • Clearwater, FL
  • NPI 1396129987
  NPD
• Advanced Foot and Ankle Care, Inc.

  • Podiatrist
  • Sarasota, FL
  • NPI 1194772863
  NPD (past)
• Ankle & Foot Center of Tampa Bay

  dba Ankle & Foot Center

  • Podiatrist
  • Tampa, FL
  • NPI 1265419964

  Foot & Ankle Surgery

  NPD (past)
• Barbara Freeman

  • Family Medicine Physician
  • Clearwater, FL
  • NPI 1285199299
  NPD (past)
• Foot Healthcare Associates, PC

  • Foot & Ankle Surgery Podiatrist
  • Bingham Farms, MI
  • NPI 1558398818
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1861416547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 OSCEOLA AVE",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321766638",
            "telephone_number": "386-672-6424",
            "fax_number": "386-672-5251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6021 142ND AVE N",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337602822",
            "telephone_number": "727-796-6900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4641 Clyde Morris Blvd",
            "address_purpose": "LOCATION",
            "city": "Port Orange",
            "state": "FL",
            "postal_code": "321296003",
            "country_code": "US",
            "telephone_number": "386-304-7737",
            "fax_number": "386-304-4122",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "233 Osceola Ave",
            "address_purpose": "LOCATION",
            "city": "Ormond Beach",
            "state": "FL",
            "postal_code": "321766638",
            "country_code": "US",
            "telephone_number": "386-672-6424",
            "fax_number": "386-672-5251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TADDIE",
        "first_name": "KRISTIE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901002145",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PODIATRIC MEDICINE AND SURGERY",
            "identifier": "5901002145",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340608300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PODIATRIC LICENSE",
            "identifier": "PO3265",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• T.B.C. Ventures LLC
• T'Allure Tresses & Beauty
• Alisa Tabak, BA
• Nejra Tabakovic, PA-C
• Heather Tack
• Abida Taher, M.D, PHD
• Kimiko Takezawa, M.D.
• Kinjal K Talati, NP
• Angelica B. Talic-Rajendran, D.O.
• Tallahassee Orthopedic Clinic III PL (Florida Orthopaedic Institute)

• Foot & Ankle Surgery Podiatrist in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Foot & Ankle Surgery Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.