Active NPI
Julie Christine Foster
- Speech-Language Pathologist
- Havana, AR
National Provider Identifier
1265606271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP#2370
- Practice address
- 10165 Walnut Grove Rd
Havana, AR 72842-8835 - Phone
- (479) 970-1302
- NPI assigned
- Apr 22, 2008
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP#2370 | AR | Primary |
Addresses
Primary practice location
10165 Walnut Grove Rd
Havana, AR 72842-8835
Mailing address
10165 Walnut Grove Rd
Havana, AR 72842-8835
Phone (479) 970-1302
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 158924721 | Medicaid | AR |
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 |
|---|---|---|---|
| SP#2370 | AR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208822400000",
"number": "1265606271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10165 WALNUT GROVE RD",
"city": "HAVANA",
"state": "AR",
"postal_code": "728428835",
"telephone_number": "479-970-1302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10165 WALNUT GROVE RD",
"city": "HAVANA",
"state": "AR",
"postal_code": "728428835",
"telephone_number": "479-970-1302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOSTER",
"first_name": "JULIE",
"middle_name": "CHRISTINE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-22",
"last_updated": "2008-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AR",
"license": "SP#2370",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "158924721",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Havana, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.