Organization Active NPI

Premier Footcare PC

  • Podiatrist
  • Nashville, TN
National Provider Identifier
1952404964
Registry record updated Sep 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
619TN Issued in TN
Legal business name
PREMIER FOOTCARE PC
Practice address
131 French Landing Dr
Nashville, TN 37228-1511
Phone
(615) 321-2711
Fax
(615) 534-4784
NPI assigned
Sep 6, 2006
Last updated
Sep 27, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2019

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

Authorized official

Name
Dr. Larelyn T Crear, DPM
Title
Owner President
Phone
(615) 321-2711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 619TN TN Primary

Addresses

Primary practice location

131 French Landing Dr
Nashville, TN 37228-1511

Mailing address

PO Box 11573
Murfreesboro, TN 37129-0032
Phone (615) 321-2711

Other identifiers 1

IdentifierTypeStateIssuer
3730595MedicaidTN

National Provider Directory

National Provider Directory

Locations

510 Uptown Sq
Murfreesboro, TN 37129
Phone (615) 321-2711

2001 Charlotte Ave
Ste 201
Nashville, TN 37203
Phone (615) 231-2711

512 Fisk St
Nashville, TN 37203
Phone (615) 231-2711

Practitioners & affiliated clinicians

Practitioners 1

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": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569542400000",
    "number": "1952404964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11573",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371290032",
            "telephone_number": "615-321-2711",
            "fax_number": "615-534-4784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 FRENCH LANDING DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372281511",
            "telephone_number": "615-321-2711",
            "fax_number": "615-534-4784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER FOOTCARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2019-09-27",
        "status": "A",
        "authorized_official_last_name": "CREAR",
        "authorized_official_first_name": "LARELYN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "615-321-2711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TN",
            "license": "619TN",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3730595",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2019; 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.