Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Dr. Kali Etheredge, DPM

Podiatrist in Lake Park, FL · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1063429702

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Registry record

Entity type Individual (Type 1)

Name Dr. Kali Etheredge

Credential DPM

Sex Female

Practice address Lake Park, FL, 33403

Phone (561) 848-7722

Fax (561) 848-7812

Enumeration date Aug 2, 2006

Last updated in NPPES Mar 7, 2023

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

213E00000X Podiatrist Podiatric Medicine & Surgery Service Providers · License POD001044 (GA) Secondary

213E00000X Podiatrist Podiatric Medicine & Surgery Service Providers · License PO3255 (FL) Primary

DPM · Doctor of Podiatric Medicine: A physician specializing in medical and surgical care of the foot and ankle. About the DPM credential

Other identifiers

Identifier	Type	State	Issuer
PO3255	Other	FL	STATE LICENSE
POD001044	Other	GA	STATE LICENSE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Kali Etheredge?

The National Provider Identifier (NPI) for Kali Etheredge is 1063429702, a Type 1 (individual) record in the CMS NPPES registry.

Where does Kali Etheredge practice?

The practice location on file with NPPES is in Lake Park, FL. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

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Henry Stark Foot & Ankle Surgery Podiatrist · Lake Park, FL NPI 1376505404 Mobile Wound Care Associates, LLC Foot & Ankle Surgery Podiatrist · Lake Park, FL NPI 1902078132 Marie Previlus Family Nurse Practitioner · Lake Park, FL NPI 1952724726 Marie Duclair Psychiatric/Mental Health Nurse Practitioner · Lake Park, FL NPI 1174934830 Laura Pfendler Physical Medicine & Rehabilitation Physician · Lake Park, FL NPI 1972126084 Unity Advanced Healthcare and Wellness, Pllc Family Nurse Practitioner · Lake Park, FL NPI 1992304216 Lake Park Podiatry Foot & Ankle Surgery Podiatrist · Lake Park, FL NPI 1952096950

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-03-07.