NPI 1528587813 · live from the CMS NPI Registry
Prairie Foot & Ankle PC
Podiatrist in Grand Island, NE. National Provider Identifier 1528587813, active.
NPI record
| NPI | 1528587813 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 1832 Aspen Ln Ste A, Grand Island, NE 68803 |
| Practice phone | 308-646-0077 |
| Mailing address | Po Box 5823, Grand Island, NE 68802 |
| Enumerated | September 18, 2017 |
| Last updated | July 23, 2026 |
| Authorized official | Corey Blackburn, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist primary | 213E00000X | — |
| Nurse Practitioner, Family | 363LF0000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.