Active NPI
Shawn Renee Foster
- School Registered Nurse
- Mesa, AZ
National Provider Identifier
1336798735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- RN215527
- Practice address
- 1025 N Country Club Dr
Mesa, AZ 85201-3302 - Phone
- (480) 472-0575
- NPI assigned
- Sep 9, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | RN215527 | AZ | Primary |
Addresses
Primary practice location
1025 N Country Club Dr
Mesa, AZ 85201-3302
Mailing address
1025 N Country Club Dr
Mesa, AZ 85201-3302
Phone (480) 472-0575
Other practice location 1
2626 N 24th St
Mesa, AZ 85213-1435
Phone (480) 482-7553
Other practice location 2
2555 N Stapley Dr
Mesa, AZ 85203-1127
Phone (480) 472-5507
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 |
|---|---|---|---|
| RN215527 | AZ | MD | School Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567987200000",
"number": "1336798735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 N COUNTRY CLUB DR",
"city": "MESA",
"state": "AZ",
"postal_code": "852013302",
"telephone_number": "480-472-0575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 N COUNTRY CLUB DR",
"city": "MESA",
"state": "AZ",
"postal_code": "852013302",
"telephone_number": "480-472-0575"
}
],
"practiceLocations": [
{
"address_1": "2626 N 24th St",
"address_purpose": "LOCATION",
"city": "Mesa",
"state": "AZ",
"postal_code": "852131435",
"country_code": "US",
"telephone_number": "480-482-7553",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2555 N Stapley Dr",
"address_purpose": "LOCATION",
"city": "Mesa",
"state": "AZ",
"postal_code": "852031127",
"country_code": "US",
"telephone_number": "480-472-5507",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FOSTER",
"first_name": "SHAWN",
"middle_name": "RENEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-09",
"last_updated": "2019-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "AZ",
"license": "RN215527",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.