Kyle S Fouch, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

71014458A Issued in IN

Practice address

501 S Madison St Ste 105
Bloomington, IN 47403-2452

Phone

(812) 929-2193

Fax

(888) 789-8394

NPI assigned

Sep 29, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Indiana Center for Recovery, LLC

  • Psychiatric Residential Treatment Facility
  • Bloomington, IN
  • NPI 1295276160
  NPD (past)
• New Outlook Counseling Center Inc

  • Community/Behavioral Health Agency
  • Bloomington, IN
  • NPI 1033527619
  NPD (past)
• New Outlook Counseling Center Inc

  • Community/Behavioral Health Agency
  • Bloomington, IN
  • NPI 1891099073
  NPD (past)

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

{
    "created_epoch": "1695945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1417737396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5010 N STONE MILL RD STE B",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474089320",
            "telephone_number": "812-929-7956",
            "fax_number": "888-789-8394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S MADISON ST STE 105",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474032452",
            "telephone_number": "812-929-2193",
            "fax_number": "888-789-8394"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1004 W 1st St",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IN",
            "postal_code": "474032208",
            "country_code": "US",
            "telephone_number": "561-635-2400",
            "fax_number": "888-516-3613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOUCH",
        "first_name": "KYLE",
        "middle_name": "S",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-29",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "IN",
            "license": "28248377A",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71014458A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tynen Forrest
• Kendra Rae Foster, FNP
• Ronald David Foster, RPH
• Sarah Mae Foster
• Teresa R. Foster, L.C.S.W.
• Chloe Fox
• Damara Fox
• Diana Fox
• Gregory M Fox, M.D.
• Kellen Fox, MS

• Psychiatric/Mental Health Nurse Practitioner in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.