Organization Active NPI

Family Foot and Ankle PLLC

  • Foot & Ankle Surgery Podiatrist
  • Cookeville, TN
National Provider Identifier
1902376346
Registry record updated Nov 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
FAMILY FOOT AND ANKLE PLLC
Practice address
120 Walnut Commons LN Ste A120
Cookeville, TN 38501-6035
Phone
(931) 528-1331
Fax
(931) 528-6893
NPI assigned
Nov 28, 2018
Last updated
Nov 28, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2018

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

Authorized official

Name
Mrs. Susie Fabyunkey
Title
Medical Biller
Phone
(931) 528-1331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X NU Primary

Addresses

Primary practice location

120 Walnut Commons LN Ste A120
Cookeville, TN 38501-6035

Mailing address

120 Walnut Commons LN Ste a
Cookeville, TN 38501-6037
Phone (931) 528-1331

Other practice location 1

58 West Ave
Crossville, TN 38555-4773
Phone (931) 484-9002

Other practice location 2

114 N Duncan St Ste D
Jamestown, TN 38556-3100
Phone (931) 879-9011

Other practice location 3

417 E University St
Livingston, TN 38570-1511
Phone (931) 823-3668

National Provider Directory

National Provider Directory

Locations

120 Walnut Commons Ln
Ste A
Cookeville, TN 38501
Phone (731) 528-1331

120 Walnut Commons Ln
Ste A120
Cookeville, TN 38501
Phone (931) 528-1331

114 N Duncan St
Ste D
Jamestown, TN 38556
Phone (931) 879-9008

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1543363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543363200000",
    "number": "1902376346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 WALNUT COMMONS LN STE A",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385016037",
            "telephone_number": "931-528-1331",
            "fax_number": "931-528-6893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 WALNUT COMMONS LN STE A120",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385016035",
            "telephone_number": "931-528-1331",
            "fax_number": "931-528-6893"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "58 West Ave",
            "address_purpose": "LOCATION",
            "city": "Crossville",
            "state": "TN",
            "postal_code": "385554773",
            "country_code": "US",
            "telephone_number": "931-484-9002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "114 N Duncan St Ste D",
            "address_purpose": "LOCATION",
            "city": "Jamestown",
            "state": "TN",
            "postal_code": "385563100",
            "country_code": "US",
            "telephone_number": "931-879-9011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "417 E University St",
            "address_purpose": "LOCATION",
            "city": "Livingston",
            "state": "TN",
            "postal_code": "385701511",
            "country_code": "US",
            "telephone_number": "931-823-3668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FAMILY FOOT AND ANKLE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-28",
        "last_updated": "2018-11-28",
        "status": "A",
        "authorized_official_last_name": "FABYUNKEY",
        "authorized_official_first_name": "SUSIE",
        "authorized_official_title_or_position": "MEDICAL BILLER",
        "authorized_official_telephone_number": "931-528-1331",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cookeville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.