Individual provider Active NPI

Stephanie M Foster, PMHNP

  • Family Nurse Practitioner
  • Richmond, VA
National Provider Identifier
1508227133
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN76213NP Issued in WV
Practice address
3900 Westerre Pkwy Ste 300
Richmond, VA 23233-1339
Phone
(804) 332-6061
Fax
(888) 497-6250
NPI assigned
Mar 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024185915 VA
Family Nurse Practitioner 363LF0000X APRN76213NP WV Primary

Addresses

Primary practice location

3900 Westerre Pkwy Ste 300
Richmond, VA 23233-1339

Mailing address

4 Forest Hills Dr
Wheeling, WV 26003-6643
Phone (740) 359-0398

Other identifiers 2

IdentifierTypeStateIssuer
PENDINGOtherWVBLUE CROSS/BLUE SHIELD
PENDINGMedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160331000138 WV Practitioner - Nurse Practitioner 9436456761 Reassigns benefits to 1 organization
I20230619000240 VA Practitioner - Nurse Practitioner 9436456761 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN76213NPWVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Regional Community Services Board CurrentSince Jan 24, 2023 Accepting new patients
GR&W, Inc CurrentSince Jun 1, 2018 Accepting new patients
GR&W, Inc PastSince Jun 1, 2018 Accepting new patients
Tandem Telehealth Medical Group PLLC Past Accepting new patients

Locations

24 Clay St
Martinsville, VA 24112
Phone (276) 632-7128

22280 Jeb Stuart Hwy
Stuart, VA 24171
Phone (276) 632-7128

1005 White Willow Way
Morgantown, WV 26505
Phone (304) 212-7238

1100 Main St
Ste 104
Wheeling, WV 26003
Phone (304) 443-1414

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1457481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1508227133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 FOREST HILLS DR",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260036643",
            "telephone_number": "740-359-0398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 WESTERRE PKWY STE 300",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232331339",
            "telephone_number": "804-332-6061",
            "fax_number": "888-497-6250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "STEPHANIE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-09",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024185915",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "APRN76213NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "PENDING",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.