Active NPI
Essie Foster
- Home Modifications Contractor
- Bryan, TX
National Provider Identifier
1104359017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Modifications Contractor
- License
- NA00729044
- Practice address
- 808East 32ND Street #B
Bryan, TX 77803-4617 - Phone
- (979) 985-0457
- NPI assigned
- Apr 7, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Modifications Contractor | 171WH0202X | NA00729044 | TX | Primary |
Addresses
Primary practice location
808East 32ND Street #B
Bryan, TX 77803-4617
Mailing address
808 East 32ND Street #B
Bryan, TX 77803
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NA00729044 | TX | MD | Home Modifications Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491523200000",
"number": "1104359017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "808 EAST 32ND STREET #B",
"city": "BRYAN",
"state": "TX",
"postal_code": "77803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "808EAST 32ND STREET #B",
"city": "BRYAN",
"state": "TX",
"postal_code": "778034617",
"telephone_number": "979-985-0457"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOSTER",
"first_name": "ESSIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-07",
"last_updated": "2017-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "171WH0202X",
"taxonomy_group": "",
"desc": "Contractor, Home Modifications",
"state": "TX",
"license": "NA00729044",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bryan, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.