Individual provider Active NPI

Jennifer Morancy, DPM

  • Podiatrist
  • Clearwater, FL
National Provider Identifier
1871809160
Registry record updated Jun 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO4057 Issued in FL
Practice address
13600 Icot Blvd BLDG a
Clearwater, FL 33760-3703
Phone
(727) 796-6900
Fax
(727) 669-8417
NPI assigned
Aug 24, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO4057 FL Primary

Addresses

Primary practice location

13600 Icot Blvd BLDG a
Clearwater, FL 33760-3703

Mailing address

13600 Icot Blvd BLDG a
Clearwater, FL 33760-3703
Phone (727) 796-6900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006447NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Barbara Freeman PastSince Jun 21, 2020 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1282608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592524800000",
    "number": "1871809160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13600 ICOT BLVD BLDG A",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337603703",
            "telephone_number": "727-796-6900",
            "fax_number": "727-669-8417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13600 ICOT BLVD BLDG A",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337603703",
            "telephone_number": "727-796-6900",
            "fax_number": "727-669-8417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORANCY",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-24",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO4057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.