Individual provider Active NPI

Tricia Foster, MSW, LISAC, RN

  • Registered Nurse
  • Sierra Vista, AZ
National Provider Identifier
1417098583
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
95352829 Issued in CA
Practice address
75 N Garden Ave
Sierra Vista, AZ 85635-3805
Phone
(520) 610-0010
NPI assigned
Feb 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 11515 AZ
Registered Nurse 163W00000X 249278 AZ
Registered Nurse 163W00000X 95352829 CA Primary

Addresses

Primary practice location

75 N Garden Ave
Sierra Vista, AZ 85635-3805

Mailing address

75 N Garden Ave
Sierra Vista, AZ 85635-3805
Phone (520) 610-0010

Other practice location 1

1595 S 1st Ave
Yuma, AZ 85364-4706
Phone (520) 610-0010

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
11515AZMDAddiction (Substance Use Disorder) Counselor
249278AZMDRegistered Nurse
95352829CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1417098583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 N GARDEN AVE",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856353805",
            "telephone_number": "520-610-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 N GARDEN AVE",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856353805",
            "telephone_number": "520-610-0010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1595 S 1st Ave",
            "address_purpose": "LOCATION",
            "city": "Yuma",
            "state": "AZ",
            "postal_code": "853644706",
            "country_code": "US",
            "telephone_number": "520-610-0010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "TRICIA",
        "credential": "MSW, LISAC, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "11515",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "249278",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95352829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sierra Vista, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.