Active NPI
Kaitlyn Blanche Marie Foster, PNP
- Nurse Practitioner
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5017217
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5017217 | NC | MD | Nurse Practitioner |
| 0024178012 | VA | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wild Mother Path, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | 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
- kfoster1102566@direct.novanthealth.org
- 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.
-
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
-
- Doula
- Pineville, NC
- NPI 1659161842
-
- Obstetrics & Gynecology Physician
- Matthews, NC
- NPI 1386506137
-
- Pediatrics Physician
- Charlotte, NC
- NPI 1679056733
-
- Internal Medicine Physician
- Charlotte, NC
- NPI 1134841802
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.