Brandi Jo Foster

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP141112 Issued in TX

Practice address

4437 Etheride Circle
Canton, TX 75103

Phone

(903) 288-5301

NPI assigned

Apr 16, 2019

Last updated

Apr 16, 2019By 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

Medicare fee-for-service enrollment

Enrolled in TX

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, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cedar Creek Clinic LLCGroup PAC ID 4880811108, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ut Health East Texas Athens Hospital Hospital, Athens, TX, CCN 450389

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bfoster876302@ahs.direct-ci.com
• FHIR API: https://fhir4.healow.com/fhir/r4/GAGGCD

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.

• Cedar Creek Clinic, LLC

  • Primary Care Clinic/Center
  • Gun Barrel City, TX
  • NPI 1134539000
  Medicare reassignment Care Compare group NPD
• Ut East Texas Urgent Care Centers, PLLC

  • Urgent Care Clinic/Center
  • Canton, TX
  • NPI 1356974281
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Athens Hospital, LLC

  • General Acute Care Hospital
  • Athens, TX
  • NPI 1417465824
  Care Compare affiliation

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

{
    "created_epoch": "1555372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555372800000",
    "number": "1265095202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4437 ETHERIDE CIRCLE",
            "city": "CANTON",
            "state": "TX",
            "postal_code": "75103",
            "telephone_number": "903-288-5301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4437 ETHERIDE CIRCLE",
            "city": "CANTON",
            "state": "TX",
            "postal_code": "75103",
            "telephone_number": "903-288-5301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "BRANDI",
        "middle_name": "JO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-16",
        "last_updated": "2019-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP141112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslea Evans, DDS
• Fannin County Hospital Authority (Canton Healthcare Center)
• Adam Franklin Fischer, PHARMD
• Foot Clinic of East Texas, PC
• Forever Kids Pediatric Clinic
• Kaitlin Franklin
• Nicholas J Galloway II, DC
• Gold Star Assisted Living
• Virginia Yolanda Gonzalez, M.D.
• Deanna Lindsley Goode, PT

• Family Nurse Practitioner in Canton, TX
• Providers in Canton, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2019; 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.