Rebecca Ann Foulk, MD
Individual provider Active NPI Pediatrics Physician · South Royalton, VT
NPI 1154353274 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1154353274
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 042-0006862 (VT)
- Practice address
- 79 South Windsor St
South Royalton, VT 05068 - Phone
- (802) 763-7575
- Fax
- (802) 763-2190
- NPI assigned
- Jul 7, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042-0006862 | VT | MD | Pediatrics Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 042-0006862 | VT | Yes |
Addresses
Primary practice location
79 South Windsor St
South Royalton, VT 05068
Mailing address
PO Box 119
South Royalton Health Center
South Royalton, VT 05068
Phone (802) 763-7575
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0005851 | Medicaid | VT | |
| 5851 | Other | VT | BCBS VT |
Other providers in South Royalton, VT
- Tammy L. Blakeney
- Kim Clark
- Diane C Doubleday
- Amanda Enright
- Full Circle Women'S Health, PC
- H
- Jake Edward Hewitt
- Frank Batchelder Lamson
- Amelia P Lincoln
All providers in South Royalton, VT · Pediatrics Physician in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.