Individual provider Active NPI

John Donnald Foster, DOCTOR OF MINISTRY

  • Counselor
  • Winston Salem, NC
National Provider Identifier
1912101221
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
2159 Issued in NC
Practice address
Wake Forest University Baptist Medical Center
Medical Center Boulevard
Winston-Salem, NC 27157-1099
Phone
(336) 716-4745
Fax
(336) 716-5075
NPI assigned
Jun 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 2159 NC Primary

Addresses

Primary practice location

Wake Forest University Baptist Medical Center
Medical Center Boulevard
Winston-Salem, NC 27157-1099

Mailing address

Wake Forest University Baptist Medical Center
Medical Center Boulevard
Winston-Salem, NC 27157-1099
Phone (336) 716-4745

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
2159NCMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912101221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER",
            "address_2": "MEDICAL CENTER BOULEVARD",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "271571099",
            "telephone_number": "336-716-4745",
            "fax_number": "336-716-5075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER",
            "address_2": "MEDICAL CENTER BOULEVARD",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "271571099",
            "telephone_number": "336-716-4745",
            "fax_number": "336-716-5075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "JOHN",
        "middle_name": "DONNALD",
        "name_prefix": "Dr.",
        "credential": "DOCTOR OF MINISTRY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "2159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.