Active NPI
Patera Anitra Foye-Fuller, PNP
- Pediatric Nurse Practitioner
- Morrisville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 5010341
- Practice address
- 110 Lattner CT Ste 100
Morrisville, NC 27560-6843 - Phone
- (919) 462-6206
- Fax
- (919) 462-6207
- NPI assigned
- Mar 12, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
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.
-
- Federally Qualified Health Center (FQHC)
- Raleigh, NC
- NPI 1245223783
-
- Federally Qualified Health Center (FQHC)
- Cary, NC
- NPI 1952760290
-
- Federally Qualified Health Center (FQHC)
- Fuquay Varina, NC
- NPI 1114913092
-
- Federally Qualified Health Center (FQHC)
- Cary, NC
- NPI 1275085144
-
- Federally Qualified Health Center (FQHC)
- Louisburg, NC
- NPI 1497918338
-
- Federally Qualified Health Center (FQHC)
- Apex, NC
- NPI 1598751463
-
- Primary Care Clinic/Center
- Morrisville, NC
- NPI 1518148014
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200714003765 | NC | Practitioner - Nurse Practitioner | 8820411457 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5010341 | NC | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advance Community Health, Inc | Current | Accepting new patients | |
| Advance Community Health, Inc | Current | Accepting new patients | |
| Advance Community Health, Inc | Current | Accepting new patients | |
| Advance Community Health, Inc | Current | Accepting new patients | |
| Advance Community Health, Inc | Current | Accepting new patients | |
| Maruthi Pediatrics PLLC | Past | Accepting new patients | |
| Advance Community Health, Inc | Past | Accepting new patients |
Locations
212 S Salem St
Apex, NC 27502
Phone (919) 362-5201
187 High House Rd
Cary, NC 27511
130 N Judd Pkwy NE
Fuquay Varina, NC 27526
Phone (919) 346-0499
111 S Church St
Louisburg, NC 27549
Phone (919) 340-2500
1011 Rock Quarry Rd
Raleigh, NC 27610
1430 S Wilmington St
Raleigh, NC 27603
2620 New Bern Ave
Raleigh, NC 27610
Phone (919) 255-6721
1011 Rock Quarry Rd
Fl 2
Raleigh, NC 27610
1001 Rock Quarry Rd
Raleigh, NC 27610
Phone (919) 250-2934
Interoperability endpoints
- pfoyefuller326569@direct.ochin.org
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 5010341 | NC | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
110 Lattner CT Ste 100
Morrisville, NC 27560-6843
Mailing address
228 Muses Mill CT
Holly Springs, NC 27540-7947
Phone (919) 819-8266
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 12, 2018.
{
"created_epoch": "1520812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520812800000",
"number": "1245733773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "228 MUSES MILL CT",
"city": "HOLLY SPRINGS",
"state": "NC",
"postal_code": "275407947",
"telephone_number": "919-819-8266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 LATTNER CT STE 100",
"city": "MORRISVILLE",
"state": "NC",
"postal_code": "275606843",
"telephone_number": "919-462-6206",
"fax_number": "919-462-6207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOYE-FULLER",
"first_name": "PATERA",
"middle_name": "ANITRA",
"name_prefix": "Mrs.",
"credential": "PNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-12",
"last_updated": "2018-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NC",
"license": "5010341",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morrisville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.