FAMILY FOOT AND ANKLE PLLC (NPI# 1902376346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902376346 |
| Entity Type | Organization |
| Organization Name | FAMILY FOOT AND ANKLE PLLC |
| Practice Address |
120 Walnut Commons Ln Ste A120 Cookeville TN 38501-6035 |
| Mailing Address |
120 Walnut Commons Ln Ste A Cookeville TN 38501-6037 |
| Practice Telephone | 9315281331 |
| Practice Fax Number | 9315286893 |
| Mailing Telephone | 9315281331 |
| Mailing Fax Number | 9315286893 |
| Enumeration Date | 2018-11-28 |
| Last Update Date | 2018-11-28 |
| Authorized Official Name | MRS. SUSIE FABYUNKEY (MEDICAL BILLER) |
| Authorized Official Telephone | 9315281331 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 114 N Duncan St Ste D, Jamestown, TN 385563100 | 9318799011 | |
| 417 E University St, Livingston, TN 385701511 | 9318233668 | |
| 58 West Ave, Crossville, TN 385554773 | 9314849002 |
| Street Address |
120 WALNUT COMMONS LN STE A120 |
| City | COOKEVILLE |
| State | TN |
| Zip Code | 38501-6035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596711 | Results-ast Jv, LLC | Physical Therapist | 627 James Campbell Blvd, South, Suite B, Columbia, TN 38501 | 2020-10-21 |
| 1376167080 | Melinda Jane Jetter | Registered Nurse | 320 North Willow Avenue, Cookeville, TN 38501 | 2020-05-29 |
| 1366950875 | Tara Beth Smith | Occupational Therapist | 315 N Washington Ave Ste 240, Cookeville, TN 38501 | 2018-01-18 |
| 1669990339 | Tonya Rachelle Perry | Counselor | 13 South Jefferson Ave, Cookeville, TN 38501 | 2017-09-01 |
| 1659896207 | Dustin Chase Rich | Physical Therapist | 105 S. Willow Ave, #100, Cookeville, TN 38501 | 2017-08-04 |
| 1487009668 | Holly Young | Physical Therapist | 315 North Washungton Ave., Suite 240, Cookeville, TN 38501 | 2016-04-26 |
| 1194190306 | Johnna Sprague | Nurse Practitioner | 620 S. Jefferson Ave, Suite 202, Cookeville, TN 38501 | 2015-12-14 |
| 1881099885 | Carlos Alberto Podesta | Internal Medicine | 238 W 4th St Ste 200, Cookeville, TN 38501 | 2014-11-03 |
| 1124445002 | Shashank Sarvepalli | Internal Medicine | 1 Medical Center Blvd Ste D, Cookeville, TN 38501 | 2014-03-27 |
| 1689095762 | Kendra Hicks | Licensed Practical Nurse | 701 County Services Drive, Cookeville, TN 38501 | 2013-12-17 |
| Find all providers in zip 38501 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235245101 | Stephen J Chapman Dpm D/b/a Family Foot Center | Podiatrist | 120 Walnut Commons Lane, Suite A, Cookeville, TN 38501 | 2006-08-22 |
| 1356710974 | Joshua Boyd Stauffer | Podiatrist | 120 Walnut Commons Ln Ste A, Cookeville, TN 38501-6037 | 2015-09-24 |
| 1619154416 | Williams Foot Center, Pllc | Podiatrist | 225 N Willow Ave, Cookeville, TN 38501-2335 | 2008-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821623638 | Advanced Diagnostic Imaging PC | Podiatrist | 179 Hancock St Ste 300, Gallatin, TN 37066-6347 | 2020-03-12 |
| 1366099269 | Khumalo Foot and Ankle Clinic, Inc | Podiatrist | 1109 E Reelfoot Ave Ste D, Union City, TN 38261-5866 | 2019-08-25 |
| 1154889533 | Cutting Edge Foot and Ankle | Podiatrist | 3443 Dickerson Pike Ste 310, Nashville, TN 37207-2523 | 2019-03-05 |
| 1649757238 | Healthstar Physicians, P.C. | Podiatrist | 2435 Jacksboro Pike Ste 3, La Follette, TN 37766-2912 | 2018-07-26 |
| 1851817290 | Tennessee Foot & Ankle Specialists PC | Podiatrist | 515 Highland Ter Ste B, Murfreesboro, TN 37130-2424 | 2017-08-17 |
| 1386165694 | Lucy Jayne Barrow | Podiatrist | 300 20th Ave N Ste 103, Nashville, TN 37203-2132 | 2017-06-28 |
| 1982051298 | Louis I Reper II | Podiatrist | 125 Town Creek Rd E Ste 3, Lenoir City, TN 37772 | 2016-05-17 |
| 1982050217 | Francois V. Dijour | Podiatrist | 111 Highway 70 E Ste G, Dickson, TN 37055-2080 | 2016-05-05 |
| 1447614136 | Sallee Taylor Randolph | Podiatrist | 1303 Sunset Dr Ste 6, Johnson City, TN 37604 | 2016-04-08 |
| 1790160364 | Mitchell Paul Rider | Podiatrist | Bldg 20 Memorial Ave, Mountain Home, TN 37684-4000 | 2015-07-24 |
| Find all providers with the same taxonomy | ||||
| City | COOKEVILLE |
| Zip Code | 38501 |
Please comment or provide details below to improve the information on FAMILY FOOT AND ANKLE PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.