Active NPI
Veronica W Foreman, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Augusta, GA
National Provider Identifier
1245997196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- RN219644
- Practice address
- 950 15TH St
Augusta, GA 30901-2608 - Phone
- (706) 589-6524
- NPI assigned
- Nov 25, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN219644 | GA | Primary |
Addresses
Primary practice location
950 15TH St
Augusta, GA 30901-2608
Mailing address
1220 Berthoud Pass
Hephzibah, GA 30815-5683
Phone (706) 589-6524
Other names 1
- Mrs. Veronica W Foreman
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 |
|---|---|---|---|
| RN219644 | GA | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637798400000",
"number": "1245997196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1220 BERTHOUD PASS",
"city": "HEPHZIBAH",
"state": "GA",
"postal_code": "308155683",
"telephone_number": "706-589-6524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 15TH ST",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309012608",
"telephone_number": "706-589-6524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOREMAN",
"first_name": "VERONICA",
"middle_name": "W",
"name_prefix": "Mrs.",
"credential": "PMHNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-25",
"last_updated": "2021-11-25",
"certification_date": "2021-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "GA",
"license": "RN219644",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "VERONICA",
"last_name": "FOREMAN",
"middle_name": "W",
"prefix": "MRS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.