Individual provider Active NPI

Mary Alexine Foushee

  • Developmental Therapist
  • Louisville, KY
National Provider Identifier
1184080343
Registry record updated Jan 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental TherapistTaxonomy code 222Q00000X
License
000068309 Issued in KY
Practice address
4311 Wells Dr
Louisville, KY 40258-3743
Phone
(502) 718-7763
Fax
(502) 495-5038
NPI assigned
Jan 4, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X 000068309 KY Primary

Addresses

Primary practice location

4311 Wells Dr
Louisville, KY 40258-3743

Mailing address

4311 Wells Dr
Louisville, KY 40258-3743
Phone (502) 718-7763

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

LicenseStateTypeSpecialty
000068309KYMDDevelopmental Therapist

NPI Registry JSON

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

{
    "created_epoch": "1451865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451865600000",
    "number": "1184080343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4311 WELLS DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402583743",
            "telephone_number": "502-718-7763",
            "fax_number": "502-495-5038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4311 WELLS DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402583743",
            "telephone_number": "502-718-7763",
            "fax_number": "502-495-5038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOUSHEE",
        "first_name": "MARY",
        "middle_name": "ALEXINE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-04",
        "last_updated": "2016-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "KY",
            "license": "000068309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2016; 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.