Organization Active NPI

Foot & Ankle Health Center LLC

  • Podiatrist
  • Covington, LA
National Provider Identifier
1942486741
Registry record updated Sep 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PD190R Issued in LA
Legal business name
FOOT & ANKLE HEALTH CENTER LLC
Practice address
323 S Tyler St
Covington, LA 70433-2352
Phone
(985) 867-9605
Fax
(985) 867-9001
NPI assigned
Jan 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2019

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

Authorized official

Name
Constance H Edwards
Title
Administrator
Phone
(985) 867-9605

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X PD190R LA Primary

Addresses

Primary practice location

323 S Tyler St
Covington, LA 70433-2352

Mailing address

323 S Tyler St.
Covington, LA 70433-2352
Phone (985) 867-9605

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100828000020 LA Part B Supplier - Clinic/Group Practice 0749304798 Receives reassigned benefits from 1 practitioner
Practice locations: Covington, LA
O20100930043360 LA DME Supplier - Physician - Podiatry 0749304798 Practice locations: Covington, LA

National Provider Directory

National Provider Directory

Locations

323 S Tyler St
Covington, LA 70433
Phone (985) 867-9605

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567728000000",
    "number": "1942486741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 S TYLER ST.",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704332352",
            "telephone_number": "985-867-9605",
            "fax_number": "985-867-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 S TYLER ST",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704332352",
            "telephone_number": "985-867-9605",
            "fax_number": "985-867-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT & ANKLE HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-11",
        "last_updated": "2019-09-06",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "CONSTANCE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "985-867-9605"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "LA",
            "license": "PD190R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2019; 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.

Verify at the official NPI Registry.