Active NPI
Mary Rebecca Foster, CCC-A
- Audiologist
- Madison, MS
National Provider Identifier
1649363102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- A2529
- Practice address
- 132 Bridge Water Drive
Madison, MS 39110 - Phone
- (601) 898-0182
- NPI assigned
- Oct 2, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | A2529 | MS | Primary |
Addresses
Primary practice location
132 Bridge Water Drive
Madison, MS 39110
Mailing address
592 South Turtle Lane
Brandon, MS 39042
Phone (601) 331-2031
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 |
|---|---|---|---|
| A2529 | MS | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649363102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "592 SOUTH TURTLE LANE",
"city": "BRANDON",
"state": "MS",
"postal_code": "39042",
"telephone_number": "601-331-2031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "132 BRIDGE WATER DRIVE",
"city": "MADISON",
"state": "MS",
"postal_code": "39110",
"telephone_number": "601-898-0182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOSTER",
"first_name": "MARY",
"middle_name": "REBECCA",
"name_prefix": "Mrs.",
"credential": "CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MS",
"license": "A2529",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, MS
- Flowood River Oaks Hma Medical Group, LLC (Care Plus Germantown Family Medicine)
- Flowood River Oaks Hma Medical Group, LLC (CarePlus Madison Family Medicine)
- Chancey Fort, LPC, RPT, NCC, NCSC
- William Coleman Fortenberry, DMD
- Brandon Sloane Fortinberry, D.C.
- Fountains Infusion Center LLC
- Tyler Fuller, PHARMD
- John Christopher Funkhouser, N.P.
- G Gives Consulting LLC
- Lorraine Gaddis, CFNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.