Individual provider Active NPI

Kristen Sarah Foster, PA-C, PH.D.

  • Physician Assistant
  • Springfield, OR
National Provider Identifier
1649576281
Registry record updated Oct 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA156054 Issued in OR
Practice address
1007 Harlow Rd
Suite 210
Springfield, OR 97477-7124
Phone
(541) 284-1600
Fax
(541) 242-4634
NPI assigned
Jan 30, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA156054 OR Primary

Addresses

Primary practice location

1007 Harlow Rd
Suite 210
Springfield, OR 97477-7124

Mailing address

PO Box 1648
Eugene, OR 97440-1648
Phone (541) 284-1600

Other identifiers 1

IdentifierTypeStateIssuer
500638168MedicaidOR

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)
Enrolled
Credentials
Physician Assistant, Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1296345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319500800000",
    "number": "1649576281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1648",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974401648",
            "telephone_number": "541-284-1600",
            "fax_number": "541-242-4634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 HARLOW RD",
            "address_2": "SUITE 210",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974777124",
            "telephone_number": "541-284-1600",
            "fax_number": "541-242-4634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "KRISTEN",
        "middle_name": "SARAH",
        "credential": "PA-C, PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-30",
        "last_updated": "2011-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA156054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500638168",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; 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.