Individual provider Active NPI

Jennifer Lynn Foster, DC

  • Chiropractor
  • Bonita Springs, FL
National Provider Identifier
1063509396
Registry record updated Jan 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8794 Issued in FL
Practice address
9200 Bonita Beach Rd SE Ste 203
Bonita Springs, FL 34135-4278
Phone
(239) 390-0607
Fax
(239) 390-0601
NPI assigned
Oct 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH8794 FL Primary

Addresses

Primary practice location

9200 Bonita Beach Rd SE Ste 203
Bonita Springs, FL 34135-4278

Mailing address

9200 Bonita Beach Rd SE Ste 203
Bonita Springs, FL 34135-4278
Phone (239) 390-0607

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071010000777 FL Practitioner - Chiropractic 3476649187 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Chiropractic Health Solutions PLLCGroup PAC ID 9234306028, 2 clinicians

Practice addresses (Care Compare)

9200 Bonita Beach Rd SE
Bonita Springs, FL 34135-4277
Phone (239) 390-0607

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH8794FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Chiropractic Health Solutions PLLC Chiropractor CurrentSince Oct 3, 2011 Accepting new patients
Stephen D. Stohler DC PL Past Accepting new patients

Locations

9200 Bonita Beach Rd SE
Ste 203
Bonita Springs, FL 34135
Phone (239) 390-0607

9200 Bonita Beach Rd SE
Bonita Springs, FL 34135
Phone (239) 947-6808

9200 Bonita Beach Rd SE
Ste 109
Bonita Springs, FL 34135
Phone (239) 235-0524

Organizations & group practices 2

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": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580428800000",
    "number": "1063509396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 BONITA BEACH RD SE STE 203",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341354278",
            "telephone_number": "239-390-0607",
            "fax_number": "239-390-0601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 BONITA BEACH RD SE STE 203",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341354278",
            "telephone_number": "239-390-0607",
            "fax_number": "239-390-0601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonita Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.