Organization Active NPI

Fostering Resilience LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Dacula, GA
National Provider Identifier
1295420289
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
FOSTERING RESILIENCE LLC
Practice address
3617 Braselton Hwy Ste 104
Dacula, GA 30019-4667
Phone
(205) 475-6868
NPI assigned
Apr 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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

Authorized official

Name
Shakera Kathleen Snelling, FNP-C/PMHNP-BCNPI 1619464484
Title
Nurse Practitioner
Phone
(205) 475-6868

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

3617 Braselton Hwy Ste 104
Dacula, GA 30019-4667

Mailing address

4850 Golden Pkwy Ste B443
Buford, GA 30518-5842
Phone (205) 475-6868

Other practice location 1

5731 Bridgeport Ct
Flowery Branch, GA 30542-6312
Phone (205) 475-6868

Other practice location 2

1030 N Center Pkwy Ste 112
Kennewick, WA 99336-7160
Phone (509) 910-4559

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230710000905 GA Part B Supplier - Clinic/Group Practice 3577929033 Receives reassigned benefits from 1 practitioner
Practice locations: Dacula, GA

National Provider Directory

National Provider Directory

Locations

4850 Golden Pkwy
Ste B443
Buford, GA 30518

11310 E 21st St N
Ste G
Wichita, KS 67206

1030 N Center Pkwy
Ste 112
Kennewick, WA 99336
Phone (509) 309-8403

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1680739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737676800000",
    "number": "1295420289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 GOLDEN PKWY STE B443",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305185842",
            "telephone_number": "205-475-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3617 BRASELTON HWY STE 104",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300194667",
            "telephone_number": "205-475-6868"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5731 Bridgeport Ct",
            "address_purpose": "LOCATION",
            "city": "Flowery Branch",
            "state": "GA",
            "postal_code": "305426312",
            "country_code": "US",
            "telephone_number": "205-475-6868",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1030 N Center Pkwy Ste 112",
            "address_purpose": "LOCATION",
            "city": "Kennewick",
            "state": "WA",
            "postal_code": "993367160",
            "country_code": "US",
            "telephone_number": "509-910-4559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FOSTERING RESILIENCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-06",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A",
        "authorized_official_last_name": "SNELLING",
        "authorized_official_first_name": "SHAKERA",
        "authorized_official_middle_name": "KATHLEEN",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "205-475-6868",
        "authorized_official_credential": "FNP-C/PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dacula, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.