Individual provider Active NPI

Beth Ellen Foss, LPN

  • Licensed Practical Nurse
  • Sandusky, OH
National Provider Identifier
1790958908
Registry record updated Jul 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN 121606 IV Issued in OH
Practice address
442 Mill Pond Dr
Sandusky, OH 44870-1400
Phone
(419) 602-3805
NPI assigned
Apr 9, 2008
Last updated
Jul 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 121606 OH
Licensed Practical Nurse 164W00000X PN 121606 IV OH Primary

Addresses

Primary practice location

442 Mill Pond Dr
Sandusky, OH 44870-1400

Mailing address

442 Mill Pond Dr
Sandusky, OH 44870-1400
Phone (419) 602-3805

Other practice location 1

6736 Erie St
Sylvania, OH 43560-1949
Phone (419) 349-6716

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
121606OHMDLicensed Practical Nurse
PN 121606 IVOHMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595376000000",
    "number": "1790958908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "442 MILL POND DR",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448701400",
            "telephone_number": "419-602-3805",
            "fax_number": "419-517-3487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "442 MILL POND DR",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448701400",
            "telephone_number": "419-602-3805"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6736 Erie St",
            "address_purpose": "LOCATION",
            "city": "Sylvania",
            "state": "OH",
            "postal_code": "435601949",
            "country_code": "US",
            "telephone_number": "419-349-6716",
            "fax_number": "419-517-3487",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOSS",
        "first_name": "BETH",
        "middle_name": "ELLEN",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-09",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "121606",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN 121606 IV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandusky, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.

Verify at the official NPI Registry.