Active NPI
Kaleen Marie Foster, LM, CPM
- Midwife
- Crestline, CA
National Provider Identifier
1649802182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- LM598
- Practice address
- 800 Chateau Dr
Crestline, CA 92325-9501 - Phone
- (763) 772-5896
- NPI assigned
- Feb 11, 2020
- Last updated
- Mar 19, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Midwife | 176B00000X | LM598 | CA | Primary |
Addresses
Primary practice location
800 Chateau Dr
Crestline, CA 92325-9501
Mailing address
PO Box 3342
Crestline, CA 92325-3342
Phone (763) 772-5896
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 |
|---|---|---|---|
| LM598 | CA | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584576000000",
"number": "1649802182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3342",
"city": "CRESTLINE",
"state": "CA",
"postal_code": "923253342",
"telephone_number": "763-772-5896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 CHATEAU DR",
"city": "CRESTLINE",
"state": "CA",
"postal_code": "923259501",
"telephone_number": "763-772-5896"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOSTER",
"first_name": "KALEEN",
"middle_name": "MARIE",
"credential": "LM, CPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-11",
"last_updated": "2020-03-19",
"certification_date": "2020-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "CA",
"license": "LM598",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crestline, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.