Individual provider Active NPI

Raylene M Foster, MS,RD,CDE

  • Registered Dietitian
  • Rockford, MI
National Provider Identifier
1376760405
Registry record updated Aug 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
862821 Issued in MI
Practice address
3585 River Edge View CT NE
Rockford, MI 49341-7220
Phone
(616) 340-1911
Fax
(616) 883-6074
NPI assigned
Apr 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 862821 MI Primary

Addresses

Primary practice location

3585 River Edge View CT NE
Rockford, MI 49341-7220

Mailing address

3585 River Edge View CT NE
Rockford, MI 49341-7220
Phone (616) 340-1911

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
Master of Science

State licenses

LicenseStateTypeSpecialty
862821MIMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312761600000",
    "number": "1376760405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3585 RIVER EDGE VIEW CT NE",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493417220",
            "telephone_number": "616-340-1911",
            "fax_number": "616-883-6074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3585 RIVER EDGE VIEW CT NE",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493417220",
            "telephone_number": "616-340-1911",
            "fax_number": "616-883-6074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "RAYLENE",
        "middle_name": "M",
        "credential": "MS,RD,CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2011-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MI",
            "license": "862821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2011; 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.