Shawn Raymond Foster, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

76536 Issued in TN

Practice address

210 Simmons St
Maryville, TN 37801-4750

Phone

(865) 970-9800

Fax

(865) 374-7101

NPI assigned

Dec 6, 2010

Sex

Male

Sole proprietor

Yes

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

• Parkwest Medical Center

  • General Acute Care Hospital
  • Knoxville, TN
  • NPI 1396739165
  NPD (past)
• Parkwest Medical Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Maryville, TN
  • NPI 1699757609
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 6, 2010.

{
    "created_epoch": "1291593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291593600000",
    "number": "1780987263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 SIMMONS STREET",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378010000",
            "telephone_number": "865-970-9800",
            "fax_number": "865-374-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 SIMMONS ST",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378014750",
            "telephone_number": "865-970-9800",
            "fax_number": "865-374-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "SHAWN",
        "middle_name": "RAYMOND",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-06",
        "last_updated": "2010-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "TN",
            "license": "76536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Traci Michelle Forsyth
• Miranda Versace Fortner, PHARMD
• Fred C Foshee Jr., DO
• Karen Lynn Foster, APRN
• Keith H. Foster, DMD
• Tiffany Michelle Foster, CRNA
• Nancy E Fowler, NURSING ASSISTANT
• Sarah Fowler
• Lana G Fox, M.D.
• Dalya Tobea Frank, APN, FNP

• All providers in Maryville, TN
• Licensed Practical Nurse in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2010; 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.