Kelli Marie Foster, APRN NP-C

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

903649 Issued in MS

Practice address

1055 Highway 49 S Ste B
Richland, MS 39218-7517

Phone

(601) 829-6151

Fax

(769) 241-0044

NPI assigned

Dec 9, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kelli.foster@scfh-ms.direct.office.nextgen.com
• Direct secure messaging: kelli.foster@125258628.chartlogic.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Southern Charm Family Healthcare

  • Family Medicine Physician
  • Richland, MS
  • NPI 1801471172
  NPD Authorized official

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

{
    "created_epoch": "1575849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1346887353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 BELLE OAK PL",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390428111",
            "telephone_number": "601-397-0947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 HIGHWAY 49 S STE B",
            "city": "RICHLAND",
            "state": "MS",
            "postal_code": "392187517",
            "telephone_number": "601-829-6151",
            "fax_number": "769-241-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "KELLI",
        "middle_name": "MARIE",
        "credential": "APRN NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-09",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "903649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09935368",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "kellimfoster@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "mailing",
            "address_1": "515 Belle Oak Pl",
            "city": "Brandon",
            "state": "MS",
            "country_code": "US",
            "postal_code": "390428111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Chad Richard Espeland, D.C.
• Tammy F. Faulkner-Craig, DNP, FNP-BC
• First Choice Medical Supply, LLC
• First Intermed Corporation
• Laurin Suzanne Folmar, OT
• Daniel Ray Gardner
• Ashlyn Gustafson
• Anthony Todd Harris II, PHARMD
• Derrell Dewayne Hart Jr., PHARMD
• Meredith Duncan Hayles, FNP-BC

• Family Medicine Physician in Richland, MS
• Providers in Richland, MS by specialty
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.