MANDY JO FOSTER, LMT — NPI 1063675817 (Licensed & Credentialed Reflexologist in DE SOTO, MO)

CMS-1500 Box 24J / 33a • NPI

1063675817

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

173C00000X

Licensed & Credentialed Reflexologist

Box 32 Service Location & ZIP+4

715 E PRATT ST, DE SOTO, MO, 63020-2154

✓ 9-Digit EDI 837 ZIP+4 (63020-2154)

Practice Phone & Referral Fax

(636) 209-1063

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1063675817 (MANDY JO FOSTER, LMT) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1063675817` (NPI-1 Individual Practitioner)
Provider / Legal Name	MANDY JO FOSTER, LMT
Plain-English Specialty	Licensed & Credentialed Reflexologist NUCC Code: `173C00000X` (Reflexologist)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	715 E PRATT ST, DE SOTO, MO, 63020-2154
Practice Telephone / Fax	Tel: (636) 209-1063
Administrative Mailing Address	715 E PRATT ST, DE SOTO, MO, 63020-2154
Enumeration & Last Sync	Enumerated: 2008-07-02 \| CMS Record Updated: 2008-07-02

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

715 E PRATT ST, DE SOTO, MO, 63020-2154

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Plain-English Taxonomy & CMS Crosswalk (173C00000X)

What Does Taxonomy Code 173C00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 173C00000X translates to:
"Licensed & Credentialed Reflexologist"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Reflexologist for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (MANDY JO FOSTER, LMT)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`173C00000X` — Reflexologist Plain English: Licensed & Credentialed Reflexologist	State: MO \| License: `2001017861` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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MANDY JO FOSTER, LMT (NPI #1063675817)