Active NPI
Kimberly Foat
- Licensed Practical Nurse
- Jessup, PA
National Provider Identifier
1194154401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- PN281062
- Practice address
- 409 Rear Fourth Ave
Jessup, PA 18434-1455 - Phone
- (570) 903-0548
- NPI assigned
- Nov 6, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN281062 | PA | Primary |
Addresses
Primary practice location
409 Rear Fourth Ave
Jessup, PA 18434-1455
Mailing address
409 Rear Fourth Ave
Jessup, PA 18434-1455
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23-1928296 | Other | PA | HUMAN RESOURCES CENTER INC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PN281062 | PA | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383696000000",
"number": "1194154401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 REAR FOURTH AVE",
"city": "JESSUP",
"state": "PA",
"postal_code": "184341455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409 REAR FOURTH AVE",
"city": "JESSUP",
"state": "PA",
"postal_code": "184341455",
"telephone_number": "570-903-0548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOAT",
"first_name": "KIMBERLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-06",
"last_updated": "2013-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "PA",
"license": "PN281062",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMAN RESOURCES CENTER INC",
"identifier": "23-1928296",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jessup, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.