CMS-1500 Box 24J / 33a • NPI
1649902461
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
213ES0131X (CMS 48)
Licensed & Credentialed Podiatric Medicine & Surgery Service Providers — Podiatrist, Foot Surgery
Box 32 Service Location & ZIP+4
3435 E PONY EXPRESS PKWY STE 140, EAGLE MOUNTAIN, UT, 84005-5548
✓ 9-Digit EDI 837 ZIP+4 (84005-5548)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1649902461 (CEDAR VALLEY FAMILY & FOOT LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1649902461 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | CEDAR VALLEY FAMILY & FOOT LLC |
| Plain-English Specialty | Licensed & Credentialed Podiatric Medicine & Surgery Service Providers — Podiatrist, Foot Surgery NUCC Code: 213ES0131X (N/A) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 3435 E PONY EXPRESS PKWY STE 140, EAGLE MOUNTAIN, UT, 84005-5548 |
| Practice Telephone / Fax | Tel: (801) 789-2444 | Fax: (801) 789-2045 |
| Administrative Mailing Address | 3435 E PONY EXPRESS PKWY STE 140, EAGLE MOUNTAIN, UT, 84005-5548 |
| Enumeration & Last Sync | Enumerated: 2022-06-29 | CMS Record Updated: 2023-08-22 |
| Authorized Official | LYNSEY NIELSEN (Clinical Administrator) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (213ES0131X)
What Does Taxonomy Code 213ES0131X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 213ES0131X translates to:
"Licensed & Credentialed Podiatric Medicine & Surgery Service Providers — Podiatrist, Foot Surgery"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (CEDAR VALLEY FAMILY & FOOT LLC)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
363LF0000X — Nurse Practitioner, FamilyPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family | State: N/A | License: Verified | Primary: Secondary |
207Q00000X — Family MedicinePlain English: Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor) | State: N/A | License: Verified | Primary: Secondary |
207RI0011X — Internal Medicine, Interventional CardiologyPlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: N/A | License: Verified | Primary: Secondary |
213ES0103X — Podiatrist, Foot & Ankle SurgeryPlain English: Licensed & Credentialed Podiatric Medicine & Surgery Service Providers — Podiatrist, Foot & Ankle Surgery | State: N/A | License: Verified | Primary: Secondary |
213ES0131X — Plain English: Licensed & Credentialed Podiatric Medicine & Surgery Service Providers — Podiatrist, Foot Surgery | State: N/A | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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