Jaffe Shoe Stores, Inc.
Jaffe Shoe Stores, Inc. is a healthcare organization registered as Prosthetic/Orthotic Supplier in Chattanooga, TN, holding Type 2 (organization) NPI 1013900729 since 2005. The authorized official on file is Sonny Sanders, President/Certiied Pedorthist.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1013900729 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Jaffe Shoe Stores, Inc. |
| Other name | <Unavail> |
| Practice address | 5726 MARLIN RD, SUITE 512, Chattanooga, TN, 37411 |
| Phone | 4238923366 |
| Fax | 4238923337 |
| Enumeration date | 2005-08-27 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Sonny Sanders |
|---|---|
| Title | President/Certiied Pedorthist |
| Phone | 4238923366 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 335E00000X | Prosthetic/Orthotic Supplier | Primary | NO STATE LICENSURE | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1454284 | Medicaid | TN | — |
| 4043199 | Other | TN | BLUE CROSS |
Copy-ready billing details
Provider: Jaffe Shoe Stores, Inc. NPI: 1013900729 Taxonomy: 335E00000X (Prosthetic/Orthotic Supplier) Address: 5726 MARLIN RD, SUITE 512, Chattanooga, TN, 37411
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1801819289 | Sylvia Mudenda-Whaley | Individual | Mental Health Counselor | Chattanooga, TN |
| 1427194729 | Kelly Golliher | Individual | Mental Health Counselor | Chattanooga, TN |
| 1659418853 | Lisa Moore | Individual | Mental Health Counselor | Chattanooga, TN |
| 1164568671 | Sabrina Hale | Individual | Mental Health Counselor | Chattanooga, TN |
| 1205973062 | Mallory Dean | Individual | Mental Health Counselor | Chattanooga, TN |
| 1023155579 | Patrick Powell | Individual | Mental Health Counselor | Chattanooga, TN |
| 1083751705 | Stacy Hash | Individual | Mental Health Counselor | Chattanooga, TN |
| 1730226606 | Heather Sulok | Individual | Mental Health Counselor | Chattanooga, TN |
Verify this record
Cross-check NPI 1013900729 against the authoritative CMS record: view Jaffe Shoe Stores, Inc. on the official NPPES registry .
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 or validate an NPI number.
Frequently asked questions
Who is the authorized official for Jaffe Shoe Stores, Inc.?
What is the NPI number for Jaffe Shoe Stores, Inc.?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.