Active NPI
Whitney R Foster, NP-C
- Family Nurse Practitioner
- Fort Wayne, IN
National Provider Identifier
1366791238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71004217A
- Practice address
- 2121 Lake Ave
VA Northern Indiana Health Care System
Fort Wayne, IN 46805 - Phone
- (260) 426-5431
- Fax
- (765) 213-2769
- NPI assigned
- Sep 6, 2012
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71004217A | IN | Primary |
Addresses
Primary practice location
2121 Lake Ave
VA Northern Indiana Health Care System
Fort Wayne, IN 46805
Mailing address
2121 Lake Ave
VA Northern Indiana Health Care System
Fort Wayne, IN 46805
Phone (260) 426-5431
Other names 1
- Whitney Renee Mitchell
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71004217A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Open Door Health Services, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Federally Qualified Health Center (FQHC)
- Hartford City, IN
- NPI 1245094028
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483574400000",
"number": "1366791238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121 LAKE AVE",
"address_2": "VA NORTHERN INDIANA HEALTH CARE SYSTEM",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "46805",
"telephone_number": "260-426-5431",
"fax_number": "765-213-2769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 LAKE AVE",
"address_2": "VA NORTHERN INDIANA HEALTH CARE SYSTEM",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "46805",
"telephone_number": "260-426-5431",
"fax_number": "765-213-2769"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOSTER",
"first_name": "WHITNEY",
"middle_name": "R",
"name_prefix": "Ms.",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-06",
"last_updated": "2017-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71004217A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "WHITNEY",
"last_name": "MITCHELL",
"middle_name": "RENEE",
"credential": "NP-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.