Theawna Foster, DNP, APRN, NP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

11021203 Issued in FL

Practice address

1 Gateway Ctr Ste 2600
Newark, NJ 07102-5323

Phone

(888) 731-8994

NPI assigned

Feb 17, 2022

Last updated

Apr 22, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Theawna Marie Trisvan Former name

Medicare fee-for-service enrollment

Enrolled in FL

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.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coastal Integrative Healthcare IncGroup PAC ID 2264651074, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24896/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Coastal Integrative Healthcare Inc

  • Nurse Practitioner
  • Edgewater, FL
  • NPI 1093126203
  Medicare reassignment Care Compare group NPD
• Home Docs

  • Family Nurse Practitioner
  • Orange City, FL
  • NPI 1518347038
  Medicare reassignment NPD
• Primary Care of Orange City LLC

  • Family Medicine Physician
  • Orange City, FL
  • NPI 1831615087
  Medicare reassignment NPD
• Medical & Psychiatric Insitiute of Florida, Inc.

  • Forensic Psychiatry Physician
  • Port Orange, FL
  • NPI 1205278454
  Medicare reassignment
• Coastal Integrative Healthcare Inc

  • Durable Medical Equipment & Medical Supplies
  • Palm Coast, FL
  • NPI 1477161073
  NPD
• Primary Care of Orange City LLC

  dba Home Wound Care Florida

  • Nurse Practitioner
  • Orange City, FL
  • NPI 1972249530

  Family Medicine

  NPD

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

{
    "created_epoch": "1645056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1255086385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N ORANGE AVE STE 800",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328012381",
            "telephone_number": "888-731-8894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GATEWAY CTR STE 2600",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071025323",
            "telephone_number": "888-731-8994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "THEAWNA",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-17",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11021203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THEAWNA",
            "last_name": "TRISVAN",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carolina Oliveira Fortes
• Elizabeth Ann Fortes, APN
• Diandra Fortune, MD
• Jose Eduardo Fossas Espinosa
• Gillian Foster, NURSE PRACTITIONER
• Fostering Seeds
• Anastasios Fotinos, DO
• Fourth Ave Pharmacy LLC (Fourth Avenue Pharmacy)
• John Paul Fox
• Patrick Mahony Foye, M.D.

• Nurse Practitioner in Newark, NJ
• Providers in Newark, NJ by specialty
• Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.