Individual provider Active NPI

Jawanza Foster

  • Health Educator
  • Demopolis, AL
National Provider Identifier
1174162127
Registry record updated Dec 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Practice address
1502 US Highway 80 E Unit a
Demopolis, AL 36732-3921
Phone
(334) 289-1193
Fax
(334) 289-1196
NPI assigned
Dec 21, 2019
Last updated
Dec 21, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator 174H00000X Primary

Addresses

Primary practice location

1502 US Highway 80 E Unit a
Demopolis, AL 36732-3921

Mailing address

1502 US Highway 80 E Unit a
Demopolis, AL 36732-3921
Phone (334) 289-1193

Other practice location 1

1310 Washington St
Marion, AL 36756-3218
Phone (334) 683-2073

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address fosterj@rhmpi.com Direct

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

NPI Registry JSON

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

{
    "created_epoch": "1576886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576886400000",
    "number": "1174162127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 US HIGHWAY 80 E UNIT A",
            "city": "DEMOPOLIS",
            "state": "AL",
            "postal_code": "367323921",
            "telephone_number": "334-289-1193",
            "fax_number": "334-289-1196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 US HIGHWAY 80 E UNIT A",
            "city": "DEMOPOLIS",
            "state": "AL",
            "postal_code": "367323921",
            "telephone_number": "334-289-1193",
            "fax_number": "334-289-1196"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1310 Washington St",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "AL",
            "postal_code": "367563218",
            "country_code": "US",
            "telephone_number": "334-683-2073",
            "fax_number": "334-683-2077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "JAWANZA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-21",
        "last_updated": "2019-12-21",
        "certification_date": "2019-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fosterj@rhmpi.com",
            "affiliation": "N",
            "endpointDescription": "Secure Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1502 US Highway 80 E Unit A",
            "city": "Demopolis",
            "state": "AL",
            "country_code": "US",
            "postal_code": "367323921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Demopolis, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.