Individual provider Active NPI

Tracy Lee Foster

  • Family Nurse Practitioner
  • Owasso, OK
National Provider Identifier
1043714587
Registry record updated Jul 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
66957 Issued in OK
Practice address
10512 N 110TH East Ave
Owasso, OK 74055
Phone
(918) 376-8410
NPI assigned
Mar 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 66957 OK
Family Nurse Practitioner 363LF0000X 66957 OK Primary

Addresses

Primary practice location

10512 N 110TH East Ave
Owasso, OK 74055

Mailing address

10512 N 110TH East Ave
Owasso, OK 74055-6636
Phone (918) 289-3945

Other practice location 1

12700 E 100TH St N Apt 9101
Owasso, OK 74055-7405
Phone (918) 289-3945

Other practice location 2

12700 E 100TH St N Apt 9101
Owasso, OK 74055-7405
Phone (918) 289-3945

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180813001964 OK Practitioner - Nurse Practitioner 4486562618 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Villagehealth DM LLCGroup PAC ID 2769812445, 161 clinicians

Practice addresses (Care Compare)

27359 E 191St St S
Haskell, OK 74436-2069
Phone (720) 631-2400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
66957OKMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Ahs Oklahoma Physician Group, LLC CurrentSince Aug 1, 2018 Accepting new patients
Villagehealth DM LLC CurrentSince Oct 16, 2023 Accepting new patients
Ahs Oklahoma Physician Group LLC CurrentSince Aug 1, 2018 Accepting new patients

Locations

10512 N 110th East Ave
Owasso, OK 74055
Phone (918) 272-1172

10512 N 110th East Ave
Ste 220
Owasso, OK 74055
Phone (918) 516-1919

10512 N 110th East Ave
Ste 100
Owasso, OK 74055
Phone (918) 272-6333

20 E 34th St
Sand Springs, OK 74063
Phone (918) 245-9675

Dept 1206
Tulsa, OK 74182

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531526400000",
    "number": "1043714587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10512 N 110TH EAST AVE",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740556636",
            "telephone_number": "918-289-3945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10512 N 110TH EAST AVE",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "74055",
            "telephone_number": "918-376-8410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12700 E 100TH ST N APT 9101",
            "address_purpose": "LOCATION",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740557405",
            "country_code": "US",
            "telephone_number": "918-289-3945",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12700 E 100TH ST N APT 9101",
            "address_purpose": "LOCATION",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740557405",
            "country_code": "US",
            "telephone_number": "918-289-3945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "TRACY",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-20",
        "last_updated": "2018-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "OK",
            "license": "66957",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "66957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owasso, OK

Sources for this page

Verify at the official NPI Registry.