Individual provider Active NPI

Rebecca Arthur Foster, P.A.

  • Medical Physician Assistant
  • Vidalia, LA
National Provider Identifier
1063759744
Registry record updated Jan 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA.200501 Issued in LA
Practice address
1154 Logan Sewell Dr
Vidalia, LA 71373-3342
Phone
(318) 336-8166
Fax
(318) 336-8169
NPI assigned
Jan 15, 2013
Last updated
Jan 15, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA.200501 LA Primary

Addresses

Primary practice location

1154 Logan Sewell Dr
Vidalia, LA 71373-3342

Mailing address

1154 Logan Sewell Dr
Vidalia, LA 71373-3342
Phone (318) 336-8166

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20171128001412 LA Practitioner - Physician Assistant 0345507448 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA.200501LAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tensas Community Health Center Inc. CurrentSince May 19, 2021 Accepting new patients

Locations

1115 Levee Rd
Saint Joseph, LA 71366
Phone (318) 766-1967

900 Carter St
Ste A
Vidalia, LA 71373
Phone (318) 336-4780

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CHHACD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1358208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358208000000",
    "number": "1063759744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1154 LOGAN SEWELL DR",
            "city": "VIDALIA",
            "state": "LA",
            "postal_code": "713733342",
            "telephone_number": "318-336-8166",
            "fax_number": "318-336-8169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1154 LOGAN SEWELL DR",
            "city": "VIDALIA",
            "state": "LA",
            "postal_code": "713733342",
            "telephone_number": "318-336-8166",
            "fax_number": "318-336-8169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "REBECCA",
        "middle_name": "ARTHUR",
        "name_prefix": "Mrs.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-15",
        "last_updated": "2013-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "LA",
            "license": "PA.200501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vidalia, LA

Sources for this page

Verify at the official NPI Registry.