Individual provider Active NPI

Renia Davis Foster, DNP-AGNP-C

  • Gerontology Nurse Practitioner
  • Blythewood, SC
National Provider Identifier
1407701212
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
31610 Issued in SC
Practice address
215 Pegonia LN
Blythewood, SC 29016-7234
Phone
(803) 397-1484
NPI assigned
Feb 27, 2026
Last updated
Feb 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 31610 SC Primary

Addresses

Primary practice location

215 Pegonia LN
Blythewood, SC 29016-7234

Mailing address

215 Pegonia LN
Blythewood, SC 29016-7234
Phone (803) 397-1484

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
31610SCMDGerontology Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1772150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772150400000",
    "number": "1407701212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 PEGONIA LN",
            "city": "BLYTHEWOOD",
            "state": "SC",
            "postal_code": "290167234",
            "telephone_number": "803-397-1484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 PEGONIA LN",
            "city": "BLYTHEWOOD",
            "state": "SC",
            "postal_code": "290167234",
            "telephone_number": "803-397-1484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS FOSTER",
        "first_name": "RENIA",
        "name_prefix": "Dr.",
        "credential": "DNP-AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-27",
        "last_updated": "2026-02-27",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "SC",
            "license": "31610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blythewood, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2026; 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.