KELLIE HETHERINGTON DPM
NPI 1285006809
Podiatrist - Foot & Ankle Surgery in Lubbock, TX

Active since October 22, 2015PECOS Enrolled
3510 4TH ST, LUBBOCK, TX 79415(806) 472-3400 Get Directions Write a Review

NPPES record last updated: January 19, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 19, 2022, Jul 10, 2019, Jan 17, 2019 (3 updates tracked since 2019).

About Kellie Hetherington Dpm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLIE HETHERINGTON DPM (NPI 1285006809) is an individual foot & ankle surgery provider in Lubbock, Texas, licensed in Oklahoma (338) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285006809
Entity TypeIndividualFemale
Primary Taxonomy213ES0103X
Provider Legal NameKELLIE HETHERINGTONCredential: DPM
Location Address3510 4TH STLubbock, TX 79415-3329
Mailing Address1600 Fillmore St Apt 310Denver, CO 80206-1579
Sole ProprietorYes
Enumeration DateOctober 22, 2015
Last NPPES UpdateJanuary 19, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2022
NPI 1285006809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in OK · 338
3510 4TH ST, Lubbock, TX 79415

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kellie Hetherington Dpm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
3510 4TH ST
LUBBOCK, TX 79415
Social Worker
3510 4TH ST
LUBBOCK, TX 79415
Social Worker
3510 4TH ST
LUBBOCK, TX 79415
Dentist (General Practice)
3510 4TH ST
LUBBOCK, TX 79415
Social Worker (Clinical)
3510 4TH ST
LUBBOCK, TX 79415
Occupational Therapist
3510 4TH ST
LUBBOCK, TX 79415
Social Worker
3510 4TH ST
LUBBOCK, TX 79415
Social Worker (Clinical)
3510 4TH ST
LUBBOCK, TX 79415

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kellie Hetherington's NPI number?

The NPI number for Kellie Hetherington is 1285006809. It was assigned to this individual provider in the NPPES registry on October 22, 2015.

Where is Kellie Hetherington located?

Kellie Hetherington practices at 3510 4th St, Lubbock, TX 79415. The listed phone number is (806) 472-3400.

What is Kellie Hetherington's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Kellie Hetherington enrolled in Medicare?

Yes. Kellie Hetherington is registered in the Medicare PECOS enrollment system.

What insurance does Kellie Hetherington accept?

Health plans from Blue Cross and Blue Shield of Texas list Kellie Hetherington as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kellie Hetherington was last updated on January 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.