Individual provider Active NPI

Ashley Brooke Foster, PA-C

  • Physician Assistant
  • Shreveport, LA
National Provider Identifier
1265137723
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1199752
Practice address
1455 E Bert Kouns Industrial Loop Ste 108
Shreveport, LA 71105-6000
Phone
(318) 798-4544
Fax
(318) 798-4557
NPI assigned
Apr 4, 2023
Last updated
Apr 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1199752 Primary

Addresses

Primary practice location

1455 E Bert Kouns Industrial Loop Ste 108
Shreveport, LA 71105-6000

Mailing address

1455 E Bert Kouns Industrial Loop
Shreveport, LA 71105-6000
Phone (318) 798-4544

Other practice location 1

5025 Shed Rd
Bossier City, LA 71111-5434
Phone (318) 795-4741

Other names 1

  • Ashley Brooke Trumble Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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

Enrollment IDStateProvider typePAC IDDetails
I20230417001781 LA Practitioner - Physician Assistant 2668847005 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Louisiana State University School of Medicine in Shreveport, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1602 Kings Hwy
Shreveport, LA 71103-4128
Phone (318) 675-8700

1606 Kings Hwy
Shreveport, LA 71103-4128
Phone (318) 675-6402

463 Ashley Ridge Blvd
Suite 100
Shreveport, LA 71106-7231
Phone (318) 221-3584

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Highland Clinic, a Prof Med Corp CurrentSince Apr 12, 2023 Accepting new patients
Highland Clinic, a Prof Med Corp CurrentSince Apr 12, 2023 Accepting new patients
Brfhh Shreveport LLC Past Accepting new patients

Locations

5025 Shed Rd
Bossier City, LA 71111
Phone (318) 795-4741

1455 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 300-3643

1455 E Bert Kouns Industrial Loop
Ste 108
Shreveport, LA 71105
Phone (318) 798-4544

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1680566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1265137723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 E BERT KOUNS INDUSTRIAL LOOP",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711056000",
            "telephone_number": "318-798-4544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 E BERT KOUNS INDUSTRIAL LOOP STE 108",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711056000",
            "telephone_number": "318-798-4544",
            "fax_number": "318-798-4557"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5025 Shed Rd",
            "address_purpose": "LOCATION",
            "city": "Bossier City",
            "state": "LA",
            "postal_code": "711115434",
            "country_code": "US",
            "telephone_number": "318-795-4741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "ASHLEY",
        "middle_name": "BROOKE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-04",
        "last_updated": "2023-04-04",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": "1199752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "TRUMBLE",
            "middle_name": "BROOKE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.