Individual provider Active NPI

Andra Schmidt Foster, D.C.

  • Nutrition Chiropractor
  • Virginia Beach, VA
National Provider Identifier
1053474502
Registry record updated Apr 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
0104001244 Issued in VA
Practice address
505 S Independence Blvd
Suite 105
Virginia Beach, VA 23452-1150
Phone
(757) 490-2273
Fax
(757) 490-6001
NPI assigned
Dec 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Chiropractor 111NN1001X 0104001244 VA Primary

Addresses

Primary practice location

505 S Independence Blvd
Suite 105
Virginia Beach, VA 23452-1150

Mailing address

5313 Balfor Dr
Virginia Beach, VA 23464-2406
Phone (757) 490-2273

Other identifiers 3

IdentifierTypeStateIssuer
VA0104001244OtherVAVIRGINIA LICENSE NUMBER
1053474502OtherVANPI (PRACTICE)
179704OtherVAANTHEM PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051101000318 VA Practitioner - Chiropractic 6608893326

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0104001244VAMDNutrition Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Ives Associates, P.C. PastSince Jan 1, 1999 Accepting new patients

Organizations & group practices 1

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": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207267200000",
    "number": "1053474502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5313 BALFOR DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234642406",
            "telephone_number": "757-490-2273",
            "fax_number": "747-490-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 S INDEPENDENCE BLVD",
            "address_2": "SUITE 105",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521150",
            "telephone_number": "757-490-2273",
            "fax_number": "757-490-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "ANDRA",
        "middle_name": "SCHMIDT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2008-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "VA",
            "license": "0104001244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA LICENSE NUMBER",
            "identifier": "VA0104001244",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI (PRACTICE)",
            "identifier": "1053474502",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "179704",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.