Individual provider Active NPI

Cinnamon Caryl Foster, MSN, FNP-BC

  • Family Nurse Practitioner
  • Water Valley, MS
National Provider Identifier
1659607232
Registry record updated Apr 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R872547 Issued in MS
Practice address
712 S Main St
Water Valley, MS 38965
Phone
(662) 473-1140
Fax
(662) 473-1138
NPI assigned
Nov 2, 2009
Last updated
Apr 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R872547 MS Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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 1

Enrollment IDStateProvider typePAC IDDetails
I20120910000716 MS Practitioner - Nurse Practitioner 2062660491 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R872547MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Yalobusha Medical Clinic, LLC CurrentSince Jul 13, 2012 Accepting new patients
Signify Health, LLC CurrentSince Jan 5, 2022 Accepting new patients
Water Valley Medical Clinic LLC PastSince Jul 13, 2012 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

  • Direct secure messaging: cfoster@direct.meditouchehr.com
  • Direct secure messaging: cinnamon.foster.1@17185.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/17185/brand/1/csg/1/fhir/r4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1257120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649894400000",
    "number": "1659607232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 S MAIN ST",
            "city": "WATER VALLEY",
            "state": "MS",
            "postal_code": "389653334",
            "telephone_number": "662-473-1140",
            "fax_number": "662-473-1138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 S MAIN ST",
            "city": "WATER VALLEY",
            "state": "MS",
            "postal_code": "38965",
            "telephone_number": "662-473-1140",
            "fax_number": "662-473-1138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "CINNAMON",
        "middle_name": "CARYL",
        "name_prefix": "Ms.",
        "credential": "MSN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-02",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R872547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Water Valley, MS

Sources for this page

Verify at the official NPI Registry.