Active NPI
Feet 1St Shoes, Inc.
- Durable Medical Equipment & Medical Supplies
- Jacksonville, FL
National Provider Identifier
1902986748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- PED69
- Legal business name
- FEET 1ST SHOES, INC.
- Practice address
- 8081 Philips Hwy
Suite 5
Jacksonville, FL 32256-7464 - Phone
- (904) 731-3338
- Fax
- (904) 731-3348
- NPI assigned
- Oct 16, 2006
- Last updated
- Sep 8, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Wade Nield, C.PED.
- Title
- President
- Phone
- (904) 731-3338
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | PED69 | FL | Primary |
Addresses
Primary practice location
8081 Philips Hwy
Suite 5
Jacksonville, FL 32256-7464
Mailing address
8081 Philips Hwy Ste 4
Jacksonville, FL 32256-7443
Phone (904) 731-3338
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930041817 | FL | DME Supplier - Medical Supply Company With Pedorthic Personnel | 3779796362 | Practice locations: Jacksonville, FL |
National Provider Directory
National Provider DirectoryLocations
8081 Philips Hwy
Ste 4
Jacksonville, FL 32256
Phone (904) 731-3338
8081 Philips Hwy
Ste 5
Jacksonville, FL 32256
Phone (904) 872-3100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1631059200000",
"number": "1902986748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8081 PHILIPS HWY STE 4",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322567443",
"telephone_number": "904-731-3338",
"fax_number": "904-731-3348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8081 PHILIPS HWY",
"address_2": "SUITE 5",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322567464",
"telephone_number": "904-731-3338",
"fax_number": "904-731-3348"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FEET 1ST SHOES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-16",
"last_updated": "2021-09-08",
"certification_date": "2021-09-08",
"status": "A",
"authorized_official_last_name": "NIELD",
"authorized_official_first_name": "WADE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "904-731-3338",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "C.PED."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "FL",
"license": "PED69",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; 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.