Active NPI
Barbara N Foulke, FNP
- Nurse Practitioner
- Keizer, OR
National Provider Identifier
1801859764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 079042351N1 FNP-PP
- Practice address
- 5900 Inland Shores Way N
Keizer, OR 97303-3795 - Phone
- (503) 399-2424
- Fax
- (503) 375-7429
- NPI assigned
- Apr 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 079042351N1 FNP-PP | OR | Primary |
Addresses
Primary practice location
5900 Inland Shores Way N
Keizer, OR 97303-3795
Mailing address
PO Box 8100
Salem, OR 97303-0900
Phone (503) 399-2424
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 231084 | Medicaid | OR |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 079042351N1 FNP-PP | OR | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263772800000",
"number": "1801859764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8100",
"city": "SALEM",
"state": "OR",
"postal_code": "973030900",
"telephone_number": "503-399-2424",
"fax_number": "503-375-7429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5900 INLAND SHORES WAY N",
"city": "KEIZER",
"state": "OR",
"postal_code": "973033795",
"telephone_number": "503-399-2424",
"fax_number": "503-375-7429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOULKE",
"first_name": "BARBARA",
"middle_name": "N",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-10",
"last_updated": "2010-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OR",
"license": "079042351N1 FNP-PP",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "231084",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Keizer, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.