Active NPI
Carla Sue Foster, MD
- Family Medicine Physician
- Draper, UT
National Provider Identifier
1841237005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 360883-1205
- Practice address
- 1126 E 12300 S
Draper, UT 84020-9095 - Phone
- (801) 545-0600
- Fax
- (801) 542-0626
- NPI assigned
- May 31, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 360883-1205 | UT | Primary |
Addresses
Primary practice location
1126 E 12300 S
Draper, UT 84020-9095
Mailing address
PO Box 1000
Draper, UT 84020-1000
Phone (801) 542-8222
Other names 1
- Carla Sue Charbonneau
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 360883-1205 | UT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joshua M Hickman M D P C | Past | Accepting new patients | |
| Medical Marts LLC | Past | Accepting new patients | |
| Firstmed Davis LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Urgent Care Clinic/Center
- Clearfield, UT
- NPI 1962652669
-
- Specialist
- Bountiful, UT
- NPI 1932364023
-
- Primary Care Clinic/Center
- Las Vegas, NV
- NPI 1053322834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355356800000",
"number": "1841237005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1000",
"city": "DRAPER",
"state": "UT",
"postal_code": "840201000",
"telephone_number": "801-542-8222",
"fax_number": "801-542-8227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1126 E 12300 S",
"city": "DRAPER",
"state": "UT",
"postal_code": "840209095",
"telephone_number": "801-545-0600",
"fax_number": "801-542-0626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOSTER",
"first_name": "CARLA",
"middle_name": "SUE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-31",
"last_updated": "2012-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "UT",
"license": "360883-1205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CARLA",
"last_name": "CHARBONNEAU",
"middle_name": "SUE",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Draper, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.