Valley Foot & Ankle

Primary specialty

PodiatristTaxonomy code 213E00000X

License

367951-0501 Issued in UT

Legal business name

VALLEY FOOT & ANKLE

Practice address

777 N 500 W Ste 103
Provo, UT 84601-1552

Phone

(801) 375-6677

NPI assigned

Aug 24, 2018

Organization subpart

No

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

Authorized official

Name

Kelly A Gomez, DPM

Title

Owner

Phone

(801) 375-6677

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1535068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535068800000",
    "number": "1922589258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 N 500 W STE 103",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846011552",
            "telephone_number": "801-375-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 N 500 W STE 103",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846011552",
            "telephone_number": "801-375-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY FOOT & ANKLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-24",
        "last_updated": "2018-08-24",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-375-6677",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "UT",
            "license": "367951-0501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Sue Valdez, RN
• Tammy J Valdez
• Alejandra Valencia, LSAC
• Lanae Valentine
• Alexander Nicolas Valenzuela
• Valley Mobile Wound Care PLLC
• Valley Obstetrics and Gynecology
• Valley Obstetrics and Gynecology, P.C.
• Valley Obstetrics and Gynecology, P.C.
• Valley Obstetrics and Gynecology, P.C.

• Podiatrist in Provo, UT
• Providers in Provo, UT by specialty
• Podiatrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.