Individual provider Active NPI

Patera Anitra Foye-Fuller, PNP

  • Pediatric Nurse Practitioner
  • Morrisville, NC
National Provider Identifier
1245733773
Registry record updated Mar 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
5010341 Issued in NC
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.

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
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
5010341NCMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Community Health, Inc Current Accepting new patients
Advance Community Health, Inc CurrentSince Jun 10, 2022 Accepting new patients
Advance Community Health, Inc CurrentSince Jul 20, 2020 Accepting new patients
Advance Community Health, Inc Current Accepting new patients
Advance Community Health, Inc CurrentSince Jul 20, 2020 Accepting new patients
Maruthi Pediatrics PLLC PastSince Sep 6, 2020 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

  • Direct secure messaging: pfoyefuller326569@direct.ochin.org

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 5010341 NC Primary

Addresses

NPPES NPI Registry

Primary 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

Verify at the official NPI Registry.