Individual provider Active NPI

Julie Ellen Foster, FNP

  • Family Nurse Practitioner
  • Portland, OR
National Provider Identifier
1174680920
Registry record updated Mar 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
200150144NP-FNP-PP Issued in OR
Practice address
12050 SE Holgate Blvd
Portland, OR 97266-2160
Phone
(503) 793-3875
NPI assigned
Jan 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 200150144NP-FNP-PP OR Primary

Addresses

Primary practice location

12050 SE Holgate Blvd
Portland, OR 97266-2160

Mailing address

10837 SE Happy Valley Dr
Happy Valley, OR 97236-6074
Phone (503) 698-4901

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20080521000633 OR Practitioner - Nurse Practitioner 9739258450 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pohala Clinic PCGroup PAC ID 1254618655, 3 clinicians

Practice addresses (Care Compare)

7477 SE 52ND Ave
Portland, OR 97206-8206
Phone (503) 386-5328

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
200150144NP-FNP-PPORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pohala Clinic PC Family CurrentSince Mar 19, 2017 Accepting new patients

Locations

3848 SE Franklin St
#A
Portland, OR 97202
Phone (503) 572-4196

7477 SE 52nd Ave
#A
Portland, OR 97206
Phone (503) 572-4196

12050 SE Holgate Blvd
Portland, OR 97266
Phone (503) 572-4196

7477 SE 52nd Ave
Portland, OR 97206
Phone (503) 386-5328

7477 SE 52nd Ave
#2
Portland, OR 97206

12050 SE Holgate Blvd
#A
Portland, OR 97266
Phone (503) 572-4196

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22190/brand/1/csg/1/fhir/r4
  • Direct secure messaging: julie.foster.1@22190.direct.athenahealth.com

Organizations & group practices 1

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": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236902400000",
    "number": "1174680920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10837 SE HAPPY VALLEY DR",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "972366074",
            "telephone_number": "503-698-4901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12050 SE HOLGATE BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972662160",
            "telephone_number": "503-793-3875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "JULIE",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2009-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "200150144NP-FNP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.