Active NPI
Diane Briley Foster, P.A.
- Medical Physician Assistant
- Downers Grove, IL
National Provider Identifier
1417069709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- Practice address
- 3825 Highland Ave
Suite 203
Downers Grove, IL 60515-1552 - Phone
- (630) 969-1167
- Fax
- (630) 969-1297
- NPI assigned
- Aug 31, 2006
- Last updated
- Mar 7, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | IL | Primary |
Addresses
Primary practice location
3825 Highland Ave
Suite 203
Downers Grove, IL 60515-1552
Mailing address
3825 Highland Ave
Suite 203
Downers Grove, IL 60515-1552
Phone (630) 969-1167
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
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085-000306 | IL | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gastroenterology Services Endoscopy Suite, LTD | Past | Accepting new patients | |
| Gastroenterology Services, LTD | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BABFBA
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Endoscopy Clinic/Center
- Downers Grove, IL
- NPI 1083972624
-
- Gastroenterology Physician
- Downers Grove, IL
- NPI 1205966678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1417069709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3825 HIGHLAND AVE",
"address_2": "SUITE 203",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605151552",
"telephone_number": "630-969-1167",
"fax_number": "630-969-1297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3825 HIGHLAND AVE",
"address_2": "SUITE 203",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605151552",
"telephone_number": "630-969-1167",
"fax_number": "630-969-1297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOSTER",
"first_name": "DIANE",
"middle_name": "BRILEY",
"name_prefix": "Mr.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Downers Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.