HARLIS FAMILY FOOT AND ANKLE LLC
NPI 1730901216
Podiatrist - Foot & Ankle Surgery in Port Saint Lucie, FL

NPI Status: Active since October 28, 2024

Contact Information

475 NW PRIMA VISTA BLVD STE 209
PORT SAINT LUCIE, FL
ZIP 34983
Phone: (772) 210-3339

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  • Organization
  • Podiatrist
  • Foot & Ankle Surgery
  • CLIA Number: 10D2302262
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 11-04-2026

About HARLIS FAMILY FOOT AND ANKLE LLC

This page provides the complete NPI Profile along with additional information for Harlis Family Foot And Ankle Llc, a provider established in Port Saint Lucie, Florida operating as a Podiatrist, focusing in foot & ankle surgery . The healthcare provider is registered in the NPI registry with number 1730901216 assigned on October 2024. The practitioner's primary taxonomy code is 213ES0103X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Kristyn Billings (Credentialing)

NPI
1730901216
Provider Name
HARLIS FAMILY FOOT AND ANKLE LLC
Entity Type
Organization
Location Address
475 NW PRIMA VISTA BLVD STE 209 PORT SAINT LUCIE, FL 34983
Location Phone
(772) 210-3339
Mailing Address
475 NW PRIMA VISTA BLVD STE 209 PORT SAINT LUCIE, FL 34983
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-28-2024
Last Update Date
10-28-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Podiatrist Foot & Ankle Surgery

Taxonomy Code
213ES0103X
Type
Podiatric Medicine & Surgery Service Providers

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KRISTYN BILLINGS

Authorized Official Title
CREDENTIALING
Authorized Official Phone
(412) 655-4362

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
P04038OTHER (01)FLSTATE LIC

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
10D2302262
Facility Type
Physician Office
Certificate Effective Date
November 05, 2024
Certificate Expiration Date
November 04, 2026
Laboratory Director
TERRILL L. TOPS
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Harlis Family Foot And Ankle Llc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1730901216, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
3
Doubled → 6
Pos 4
0
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
0
Unchanged
Pos 7
1
Doubled → 2
Pos 8
2
Unchanged
Pos 9
1
Doubled → 2
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 9 → 18 → 9 1 → 2 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 6 + 0 + 1 + 8 + 0 + 2 + 2 + 2 + 24 = 54

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1730901216.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730901216, enumerated as an "organization" on October 28, 2024.

The provider is located at 475 NW PRIMA VISTA BLVD STE 209 PORT SAINT LUCIE, FL 34983 and the phone number is (772) 210-3339.

Podiatrist with taxonomy code 213ES0103X and a focus in Foot & Ankle Surgery.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.