Individual provider Active NPI

Mariama Tejan Sie Foh, RN, MSN, DNP

  • Family Nurse Practitioner
  • Woonsocket, RI
National Provider Identifier
1407976855
Registry record updated Jan 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5004649 Issued in NC
Practice address
1 CVS Dr
Woonsocket, RI 02895-6195
Phone
(336) 644-7738
NPI assigned
Mar 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 142703 NC
Family Nurse Practitioner 363LF0000X 5004649 NC Primary

Addresses

Primary practice location

1 CVS Dr
Woonsocket, RI 02895-6195

Mailing address

4601 US Highway 220 N
Summerfield, NC 27358-9207
Phone (336) 643-7738

Other practice location 1

4601 US Highway 220 N
Summerfield, NC 27358-9207
Phone (336) 643-7738

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 - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
142703NCMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548460800000",
    "number": "1407976855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 US HIGHWAY 220 N",
            "city": "SUMMERFIELD",
            "state": "NC",
            "postal_code": "273589207",
            "telephone_number": "336-643-7738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CVS DR",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028956195",
            "telephone_number": "336-644-7738"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4601 US Highway 220 N",
            "address_purpose": "LOCATION",
            "city": "Summerfield",
            "state": "NC",
            "postal_code": "273589207",
            "country_code": "US",
            "telephone_number": "336-643-7738",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOH",
        "first_name": "MARIAMA",
        "middle_name": "TEJAN SIE",
        "name_prefix": "Dr.",
        "credential": "RN, MSN, DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2019-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "142703",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5004649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woonsocket, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2019; 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.