Individual provider Active NPI

Chelsea Kellow-Foister, APN

  • Family Medicine Physician
  • Forrest City, AR
National Provider Identifier
1750634739
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A003775 Issued in AR
Practice address
901 Holiday Dr
Forrest City, AR 72335-9183
Phone
(870) 633-0880
Fax
(870) 633-3801
NPI assigned
Oct 16, 2012
Last updated
Oct 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A003775 AR Primary

Addresses

Primary practice location

901 Holiday Dr
Forrest City, AR 72335-9183

Mailing address

901 Holiday Dr
Forrest City, AR 72335
Phone (870) 633-0880

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

LicenseStateTypeSpecialty
A003775ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Arkansas Childrens Clinic CurrentSince Nov 3, 2024 Accepting new patients

Locations

901 Holiday Dr
Forrest City, AR 72335
Phone (870) 633-0880

Interoperability endpoints

  • Direct secure messaging: chelsea.hedge@eacc.eclinicaldirectplus.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1350345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1750634739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 HOLIDAY DR",
            "city": "FORREST CITY",
            "state": "AR",
            "postal_code": "72335",
            "telephone_number": "870-633-0880",
            "fax_number": "501-716-9223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 HOLIDAY DR",
            "city": "FORREST CITY",
            "state": "AR",
            "postal_code": "723359183",
            "telephone_number": "870-633-0880",
            "fax_number": "870-633-3801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLOW-FOISTER",
        "first_name": "CHELSEA",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-16",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "A003775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forrest City, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.