Cinnamon Caryl Foster, MSN, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Water Valley, MS
NPI 1659607232 · NPPES record last updated Apr 14, 2022
Key facts
- NPI
- 1659607232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- R872547 (MS)
- Practice address
- 712 S Main St
Water Valley, MS 38965 - Phone
- (662) 473-1140
- Fax
- (662) 473-1138
- NPI assigned
- Nov 2, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
712 S Main St
Water Valley, MS 38965-3334
Phone (662) 473-1140
Hospital & facility affiliations
- Baptist Memorial Hospital North Ms
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120910000716 | MS | Practitioner - Nurse Practitioner | 2062660491 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R872547 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health, LLC | Current |
Accepting new patients | |
| Yalobusha Medical Clinic, LLC | Current |
Accepting new patients | |
| Water Valley Medical Clinic LLC | Past |
Accepting new patients |
Locations
460 Briarwood Dr
Ste 400
Jackson, MS 39206
Phone (601) 203-1016
712 S Main St
Water Valley, MS 38965
Phone (662) 473-1140
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Interoperability endpoints
- cfoster@direct.meditouchehr.com
- https://api.platform.athenahealth.com/17185/brand/1/csg/1/fhir/r4
- cinnamon.foster.1@17185.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R872547 | MS | Yes |
Addresses
Primary practice location
712 S Main St
Water Valley, MS 38965
Mailing address
712 S Main St
Water Valley, MS 38965-3334
Phone (662) 473-1140
Other providers in Water Valley, MS
- Family Practice Clinic of Water Valley
- Family Practice Clinic of Water Valley
- Taylor Robertson Faulkner
- Cody Elizabeth Field
- Jessica Fortner
- Angela Furlong
- Elizabeth A Gochnour
- Ashley Marie Griffith
- Lawanda Herron
- Holly Springs Eyecare PLLC
All providers in Water Valley, MS · Family Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 14, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.