Individual provider Active NPI

Kaitlyn Blanche Marie Foster, PNP

  • Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1376007328
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5017217 Issued in NC
Practice address
8110 Healthcare Loop
Charlotte, NC 28215-7069
Phone
(704) 316-2312
Fax
(704) 316-2316
NPI assigned
Jan 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 0024178012 VA
Nurse Practitioner 363L00000X 5017217 NC Primary

Addresses

Primary practice location

8110 Healthcare Loop
Charlotte, NC 28215-7069

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

1204 W Main St
Charlottesville, VA 22903-2824
Phone (434) 924-0123

Other practice location 2

333 Laws Ave
Ukiah, CA 95482-6540
Phone (707) 468-1010

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kgeib143011@direct.healthsystem.virginia.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20230314000528 NC Practitioner - Nurse Practitioner 3779916861 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5017217NCMDNurse Practitioner
0024178012VAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wild Mother Path, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Dec 30, 2022 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Dec 30, 2022 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients

Locations

8110 Healthcare Loop
Charlotte, NC 28215
Phone (704) 316-2312

517 S Sharon Amity Rd
Charlotte, NC 28211
Phone (704) 384-1406

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Interoperability endpoints

  • Direct secure messaging: kfoster1102566@direct.novanthealth.org
  • Direct secure messaging: kgeib143011@direct.healthsystem.virginia.edu

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1548288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1376007328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8110 HEALTHCARE LOOP",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282157069",
            "telephone_number": "704-316-2312",
            "fax_number": "704-316-2316"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1204 W Main St",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229032824",
            "country_code": "US",
            "telephone_number": "434-924-0123",
            "fax_number": "434-924-3300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "333 Laws Ave",
            "address_purpose": "LOCATION",
            "city": "Ukiah",
            "state": "CA",
            "postal_code": "954826540",
            "country_code": "US",
            "telephone_number": "707-468-1010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "KAITLYN",
        "middle_name": "BLANCHE MARIE",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-24",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "VA",
            "license": "0024178012",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5017217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kgeib143011@direct.healthsystem.virginia.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1204 W Main St",
            "city": "Charlottesville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "229032824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.