NPIMap

Individual provider Active NPI

Angela D Foster, APN

  • Family Nurse Practitioner
  • Mayflower, AR
National Provider Identifier
1174847313
Registry record updated Dec 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A03345 APN Issued in AR
Practice address
587 Highway 365
Mayflower, AR 72106-9570
Phone
(501) 470-7413
Fax
(501) 470-7415
NPI assigned
Mar 17, 2010
Last updated
Dec 2, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2013

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 A03345 APN AR Primary

Addresses

Primary practice location

587 Highway 365
Mayflower, AR 72106-9570

Mailing address

587 Highway 365
PO Box 925
Mayflower, AR 72106-9570
Phone (501) 470-7413

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110216000793 AR Practitioner - Nurse Practitioner 7911188438 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

606 Hwy 365
Mayflower, AR 72106-9595

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A03345 APNARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Conway Regional Medical Center Inc CurrentSince Oct 22, 2014 Accepting new patients
Conway Regional Medical Center Inc Current Accepting new patients
Conway Regional Medical Center, Inc CurrentSince Oct 22, 2014 Accepting new patients
Conway Regional Medical Center Inc Past Accepting new patients
Mayflower Family Medicine Past Accepting new patients

Locations

437 Denison St
Conway, AR 72034
Phone (501) 327-1325

437 Denison St
Ste 2
Conway, AR 72034
Phone (501) 504-2330

587 Highway 365
Mayflower, AR 72106
Phone (501) 470-7413

606 Highway 365
Mayflower, AR 72106
Phone (501) 358-6905

Organizations & group practices 5

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1268784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385942400000",
    "number": "1174847313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "587 HIGHWAY 365",
            "address_2": "PO BOX 925",
            "city": "MAYFLOWER",
            "state": "AR",
            "postal_code": "721069570",
            "telephone_number": "501-470-7413",
            "fax_number": "501-470-7415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "587 HIGHWAY 365",
            "city": "MAYFLOWER",
            "state": "AR",
            "postal_code": "721069570",
            "telephone_number": "501-470-7413",
            "fax_number": "501-470-7415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "ANGELA",
        "middle_name": "D",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-17",
        "last_updated": "2013-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A03345 APN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayflower, AR

Sources for this page

Verify at the official NPI Registry.