Shiretha Vinessa Foster

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Practice address

136 N 10TH St Apt 704
Lyons, GA 30436-7294

Phone

(904) 832-5415

NPI assigned

May 9, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• TJ&J Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • Lyons, GA
  • NPI 1386380780
  NPD Authorized official

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

{
    "created_epoch": "1652054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652054400000",
    "number": "1457097941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 N 10TH ST APT 704",
            "city": "LYONS",
            "state": "GA",
            "postal_code": "304367294",
            "telephone_number": "904-832-5415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 N 10TH ST APT 704",
            "city": "LYONS",
            "state": "GA",
            "postal_code": "304367294",
            "telephone_number": "904-832-5415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "SHIRETHA",
        "middle_name": "VINESSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-09",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Roy Cornwell, MD
• Donald J Payne DMD PC
• Robert Thomas Driggers, RPH
• Kathleen Rose Dunham Bridges, FNP
• For Life Home Care LLC
• Lisa Gardisser
• Ashley Joann Garner
• Allie Gillis
• Honey Speech Therapy Services LLC
• William Harrison Hughes, PHARMD

• Non-emergency Medical Transport (VAN) in Lyons, GA
• Providers in Lyons, GA by specialty
• Non-emergency Medical Transport (VAN) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; 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.