Foundation Healthcare PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

FOUNDATION HEALTHCARE PLLC

Practice address

7109 FM 2920 Rd Ste 600
Spring, TX 77379-2218

Phone

(832) 539-8898

Fax

(866) 638-5742

NPI assigned

May 18, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Tamika N Bearden Young, APRN FNP-C

Title

Ceo

Phone

(832) 539-8898

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Foundation Healthcare PLLC Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tamika Bearden, APRN, FNP-C

  • Family Nurse Practitioner
  • Spring, TX
  • NPI 1417445479
  Medicare reassignment NPD
• Carolina Luna, LCSW

  • Clinical Social Worker
  • Houston, TX
  • NPI 1194097600
  NPD
• Alicia R Horn, LPC

  • Professional Counselor
  • Spring, TX
  • NPI 1366924433
  NPD (past)
• James L Mena, MA, LPC, LCDC

  • Contractor
  • Spring, TX
  • NPI 1851312334
  NPD (past)
• Jennifer Leigh Tucker, M.S, LPC-S

  • Mental Health Counselor
  • Houston, TX
  • NPI 1225573538
  NPD (past)

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

{
    "created_epoch": "1621296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624924800000",
    "number": "1801460555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7109 FM 2920 RD STE 600",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773792218",
            "telephone_number": "832-539-8898",
            "fax_number": "866-638-5742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7109 FM 2920 RD STE 600",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773792218",
            "telephone_number": "832-539-8898",
            "fax_number": "866-638-5742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATION HEALTHCARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-18",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A",
        "authorized_official_last_name": "BEARDEN YOUNG",
        "authorized_official_first_name": "TAMIKA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-539-8898",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "819885",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foundation Healthcare PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Crystal Foster, COTA
• Gwendolyn Cheral Foster, RD, LD
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• Brittany Livasy Fowler
• Baylie Ann Fox, AUD
• Josephine Foyet, NP
• Hannah Fraccastoro

• Family Nurse Practitioner in Spring, TX
• Providers in Spring, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.