Active NPI
Andrea Lucas Foutz, ED.S.
- School Psychologist
- Roanoke, VA
National Provider Identifier
1912114745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- Practice address
- 2910 Fleetwood Ave SW
Roanoke, VA 24015-4626 - Phone
- (540) 989-6360
- Fax
- (540) 989-6360
- NPI assigned
- May 17, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | VA | Primary |
Addresses
Primary practice location
2910 Fleetwood Ave SW
Roanoke, VA 24015-4626
Mailing address
6065 Chagall Dr
Roanoke, VA 24018-5289
Phone (540) 725-8429
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
| License | State | Type | Specialty |
|---|---|---|---|
| 02-0803988 | VA | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1912114745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6065 CHAGALL DR",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240185289",
"telephone_number": "540-725-8429",
"fax_number": "540-989-6360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2910 FLEETWOOD AVE SW",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240154626",
"telephone_number": "540-989-6360",
"fax_number": "540-989-6360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOUTZ",
"first_name": "ANDREA",
"middle_name": "LUCAS",
"name_prefix": "Mrs.",
"credential": "ED.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "VA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roanoke, VA
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.