Active NPI
Danielle Crystin Kennedy Foster, D.O.
- Pediatrics Physician
- Russellville, KY
National Provider Identifier
1891920088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 03471
- Practice address
- 1621 Nashville St
Russellville, KY 42276-8871 - Phone
- (270) 946-1372
- NPI assigned
- May 18, 2009
- Last updated
- Feb 26, 2024
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 03471 | KY | Primary |
Addresses
Primary practice location
1621 Nashville St
Russellville, KY 42276-8871
Mailing address
9200 Shelbyville Rd Ste 530
Louisville, KY 40222-5149
Phone (502) 953-4799
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03471 | KY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Red Maple Pediatrics LLC | Pediatrics | Current | Accepting new patients |
Locations
1621 Nashville St
Ste 106
Russellville, KY 42276
Phone (270) 725-4594
Interoperability endpoints
- drfoster@redmaplepediatrics.opdirect.net
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708905600000",
"number": "1891920088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9200 SHELBYVILLE RD STE 530",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402225149",
"telephone_number": "502-953-4799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1621 NASHVILLE ST",
"city": "RUSSELLVILLE",
"state": "KY",
"postal_code": "422768871",
"telephone_number": "270-946-1372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOSTER",
"first_name": "DANIELLE",
"middle_name": "CRYSTIN KENNEDY",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-18",
"last_updated": "2024-02-26",
"certification_date": "2024-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "KY",
"license": "03471",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Russellville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.