DR. KRISTIE LYNN TADDIE (D.P.M.) – Foot & Ankle Surgery Podiatrist, NPI 1861416547

DR. KRISTIE LYNN TADDIE (D.P.M.) is a healthcare provider. based in Clearwater, Florida. specializing in PODIATRY. They hold the professional credentials D.P.M.. They hold a License No. 5901002145 (MI). The NPI Number for DR. KRISTIE LYNN TADDIE (D.P.M.) is 1861416547

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. KRISTIE LYNN TADDIE (D.P.M.)
NPI
1861416547
Phone
(727) 796-6900
Address
13600 ICOT BLVD BLDG A
Enumeration Date
27 July 2006
Last Update Date
21 May 2024

Doctor Profile

Medical School Name
BARRY UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Secondary Phone
7277966900
Graduation Year
2003 (23 years ago)
PAC ID
7214935428
Group Practice PAC ID
7214820976
Professional Enrollment ID
I20061127000071
Address ID
FL337602822CL6021XNXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

1,448 PODIATRY in FL

Provider Addresses for DR. KRISTIE LYNN TADDIE (D.P.M.)

  • 13600 ICOT BLVD BLDG A

    CLEARWATER, FL 337603703

    Phone: (727) 796-6900

    Fax: (727) 669-8417

    Type: Mailing

  • 4641 Clyde Morris Blvd

    Port Orange, FL 321296003

    Phone: (386) 304-7737

    Fax: (386) 304-4122

    Type: Location

  • 233 Osceola Ave

    Ormond Beach, FL 321766638

    Phone: (386) 672-6424

    Fax: (386) 672-5251

    Type: Location

  • 233 OSCEOLA AVE

    ORMOND BEACH, FL 321766638

    Phone: (386) 672-6424

    Fax: (386) 672-5251

    Type: Mailing

  • 6021 142ND AVE N

    CLEARWATER, FL 337602822

    Phone: (727) 796-6900

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $177.

Total Amount is formed as General ($177) + Research ($0) + Ownership ($0) = $177.

Last reported payment date: 2024-10-17 • Largest payer in this snapshot: Amgen Inc. ($101).

Total Amount

$177

General + Research + Ownership

Payments

2

Total payment records

General Amount

$177

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-11-27

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20061127000071IPodiatryFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
11720Removal of fingernails or toenails, 1-5 nails2,5491,254$0
G0127Trimming of dystrophic nails, any number2,4281,200$0
99304Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes770770$0
11721Removal of fingernails or toenails, 6 or more nails509258$0
99307Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes440312$0
View full utilization report →

Insurance plans in this area (ZIP 33760)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7214820976View full group profile
NameSpecialtyState
P O D I A T R YFL
P O D I A T R YFL
P O D I A T R YMA
P O D I A T R YFL
P O D I A T R YFL
P O D I A T R YFL
P O D I A T R YSC
P O D I A T R YFL
P O D I A T R YFL
P O D I A T R YSC

Reviews

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Frequently asked questions

Can I verify DR. KRISTIE LYNN TADDIE (D.P.M.) with an NPI only?
You can start verification with NPI 1861416547 for DR. KRISTIE LYNN TADDIE (D.P.M.), then check state licensing separately.
Is DR. KRISTIE LYNN TADDIE (D.P.M.) listed as active for patients and plans?
The listing shows DR. KRISTIE LYNN TADDIE (D.P.M.) as active in the NPI system.
What healthcare role does DR. KRISTIE LYNN TADDIE (D.P.M.) hold?
Scheduling teams often label DR. KRISTIE LYNN TADDIE (D.P.M.) under Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
What area does DR. KRISTIE LYNN TADDIE (D.P.M.) serve?
DR. KRISTIE LYNN TADDIE (D.P.M.)'s listing highlights Clearwater, Florida; more addresses can appear in NPPES.
Is the information about DR. KRISTIE LYNN TADDIE (D.P.M.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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