Individual provider Active NPI

Shonda Lynn Foster, FNP-BC

  • Family Nurse Practitioner
  • Fort Leonard Wood, MO
National Provider Identifier
1346672219
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2013024816 Issued in MO
Practice address
4430 Missouri Ave # 1267
Fort Leonard Wood, MO 65473-9098
Phone
(573) 596-9123
NPI assigned
Aug 2, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Duty Corpsman 1710I1002X
Family Nurse Practitioner 363LF0000X 2013024816 MO Primary

Addresses

Primary practice location

4430 Missouri Ave # 1267
Fort Leonard Wood, MO 65473-9098

Mailing address

4430 Missouri Ave # 1267
Fort Leonard Wood, MO 65473-9098

Other practice location 1

1501 N Oakland Ave
Bolivar, MO 65613
Phone (417) 326-7200

Other practice location 2

2150 W Republic Rd Ste 112
Springfield, MO 65807-6056
Phone (417) 986-1291

Other practice location 3

200 Corporate Blvd
suite 201
Lafayette, LA 70508-3870
Phone (337) 354-1107

Other practice location 4

900 E Battlefield St Ste 124
Springfield, MO 65807-5208
Phone (417) 986-1289

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address usarmy.leonardwood.medcom-glwach.list.cred@mail.mil

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20131112000221 MO Practitioner - Nurse Practitioner 7810123353 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Camden Emergency Group LLC CurrentSince Sep 18, 2013 Accepting new patients
Lincoln County Hospital PastSince Feb 25, 2019 Accepting new patients

Locations

200 Corporate Blvd
Ste 201
Lafayette, LA 70508

54 Hospital Dr
Osage Beach, MO 65065
Phone (573) 280-2772

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1375401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1346672219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4430 MISSOURI AVE # 1267",
            "city": "FORT LEONARD WOOD",
            "state": "MO",
            "postal_code": "654739098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4430 MISSOURI AVE # 1267",
            "city": "FORT LEONARD WOOD",
            "state": "MO",
            "postal_code": "654739098",
            "telephone_number": "573-596-9123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 N Oakland Ave",
            "address_purpose": "LOCATION",
            "city": "Bolivar",
            "state": "MO",
            "postal_code": "65613",
            "country_code": "US",
            "telephone_number": "417-326-7200",
            "fax_number": "417-326-7201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2150 W Republic Rd Ste 112",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658076056",
            "country_code": "US",
            "telephone_number": "417-986-1291",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Corporate Blvd",
            "address_2": "suite 201",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705083870",
            "country_code": "US",
            "telephone_number": "337-354-1107",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 E Battlefield St Ste 124",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658075208",
            "country_code": "US",
            "telephone_number": "417-986-1289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "SHONDA",
        "middle_name": "LYNN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-02",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2013024816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "usarmy.leonardwood.medcom-glwach.list.cred@mail.mil",
            "affiliation": "N",
            "address_1": "4430 Missouri Ave # 1267",
            "city": "Fort Leonard Wood",
            "state": "MO",
            "country_code": "US",
            "postal_code": "654739098",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Leonard Wood, MO

Sources for this page

Verify at the official NPI Registry.