Active NPI
Kline Foster
- Registered Nurse
- Brookhaven, MS
National Provider Identifier
1417535741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 917654
- Practice address
- 2259 Old Red Star Dr NW
Brookhaven, MS 39601-8117 - Phone
- (601) 754-7571
- NPI assigned
- Mar 30, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 917654 | MS | Primary |
Addresses
Primary practice location
2259 Old Red Star Dr NW
Brookhaven, MS 39601-8117
Mailing address
2259 Old Red Star Dr NW
Brookhaven, MS 39601-8117
Phone (601) 754-7571
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
| License | State | Type | Specialty |
|---|---|---|---|
| 917654 | MS | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617062400000",
"number": "1417535741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2259 OLD RED STAR DR NW",
"city": "BROOKHAVEN",
"state": "MS",
"postal_code": "396018117",
"telephone_number": "601-754-7571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2259 OLD RED STAR DR NW",
"city": "BROOKHAVEN",
"state": "MS",
"postal_code": "396018117",
"telephone_number": "601-754-7571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOSTER",
"first_name": "KLINE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-30",
"last_updated": "2021-03-30",
"certification_date": "2021-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MS",
"license": "917654",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brookhaven, MS
- First Care Home Heath Agency LLC
- Courtney Fleming
- Katherine Ross Flynn, PMHNP-BC
- Focus Solutions Mental Health Resources LLC
- For Your Glory Cranial Prosthetics
- Freds Stores of Tennessee Inc
- Ellisann Claire McInnis Freeman, OTR/L
- Karen Wallace Freeman, PHARM.D.
- Fresenius Medical Care East McComb Dialysis, LLC
- Amy Gaines, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.