GREGORY SCOTT FORRESTER (NPI# 1184284473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184284473 |
| Entity Type | Individual |
| Full Name | GREGORY SCOTT FORRESTER |
| Credential | PMHNP |
| Practice Address |
1101 Jackson St Sw Gravette AR 72736-9121 |
| Practice Telephone | 4793446870 |
| Practice Fax Number | 4793446865 |
| Mailing Telephone | 4793446870 |
| Mailing Fax Number | 4793446865 |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2019-06-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
120678 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1101 JACKSON ST SW |
| City | GRAVETTE |
| State | AR |
| Zip Code | 72736-9121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730151408 | Ashley Kent Stone | Nurse Practitioner | 1101 Jackson St Sw, Gravette, AR 72736-9121 | 2006-02-06 |
| 1649878042 | Kayla Lorraine Bradford | Social Worker | 1101 Jackson St Sw, Gravette, AR 72736-9121 | 2020-10-16 |
| 1912422486 | Carla Sawatski Cheek | Speech-Language Pathologist | 1101 Jackson St Sw, Gravette, AR 72736-9121 | 2017-08-07 |
| 1831614312 | Samantha Jean Eaton | Physical Therapy Assistant | 1101 Jackson St Sw, Gravette, AR 72736-9121 | 2017-08-07 |
| 1336664812 | Amber Michelle Karr | Speech-Language Pathologist | 1101 Jackson St Sw, Gravette, AR 72736-9121 | 2017-08-07 |
| 1093105918 | Amelia Dee Jackson | Nurse Practitioner | 1101 Jackson St Sw, Gravette, AR 72736-9121 | 2015-01-30 |
| 1699039610 | Vijay Kumar Kannam | Family Medicine | 1101 Jackson St Sw, Gravette, AR 72736-9121 | 2012-06-25 |
| 1780943357 | Sgoh Acquisition Inc | Medicare Defined Swing Bed Unit | 1101 Jackson St Sw, Gravette, AR 72736-9121 | 2012-05-16 |
| 1407122179 | Tracy Leigh Lowry | Nurse Practitioner | 1101 Jackson St Sw, Gravette, AR 72736-9121 | 2012-03-28 |
| 1144519570 | Rhonda Renee Pauls | Nurse Practitioner | 1101 Jackson St Sw, Gravette, AR 72736-9121 | 2011-04-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487961322 | Ty D Russell | Chiropractor | 207 Atlanta Street S.e., Gravette, AR 72736 | 2010-09-13 |
| 1558673285 | Joy Ann Coonfield | Midwife, Lay | 14195 Strawberry Ridge Road, Gravette, AR 72736 | 2010-07-10 |
| 1932305349 | City of Gravette | Ambulance | 309 1st Ave Nw, Gravette, AR 72736 | 2007-06-22 |
| 1669580163 | Arthur F Evans | Dentist | 1102 Jackson Sw, Gravette Mercy Medical Clinic Bldg, Gravette, AR 72736 | 2006-08-26 |
| 1962948380 | Adonia Holden-dunivan | Counselor | 1102 Jackson St Sw, Gravette, AR 72736 | 2017-01-09 |
| 1649889775 | Haley Kathryn Mehan | Case Manager/Care Coordinator | 109 2nd Ave Sw Apt A, Gravette, AR 72736-6009 | 2020-07-24 |
| 1073663001 | Gravette School District | Local Education Agency (LEA) | 609 Birmingham St Se, Gravette, AR 72736-8701 | 2007-01-11 |
| 1679649339 | Austin Drugs Inc | Pharmacy | 118 Main St Ne, Gravette, AR 72736-8719 | 2006-11-27 |
| 1649838335 | James Harold Austin | Pharmacist | 118 Main St Ne, Gravette, AR 72736-8719 | 2019-05-29 |
| 1730795451 | Bailey Boatright | Speech-Language Pathologist | 500 8th Ave Se, Gravette, AR 72736-8742 | 2020-09-17 |
| Find all providers in zip 72736 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
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| 1457968737 | Natural State Behavioral Health | Nurse Practitioner | 1401 Malvern Ave Ste 180, Hot Springs, AR 71901-6370 | 2020-09-30 |
| 1255944559 | The Clinic At The Forging Place | Nurse Practitioner | 1302 Cherry St, Van Buren, AR 72956-4543 | 2020-08-26 |
| 1508478066 | Jaleesa Shears | Nurse Practitioner | 880 Bayou Vista Dr, Marion, AR 72364-5006 | 2020-08-17 |
| 1306455860 | Wendy Michelle Ray | Nurse Practitioner | 1012 E Church St Ste A, Warren, AR 71671-3530 | 2020-07-29 |
| 1295352771 | Mindful Rx LLC | Nurse Practitioner | 501 Commerce Dr Unit 13341, Maumelle, AR 72113-7729 | 2020-06-30 |
| 1235755638 | Jason David Wallace | Nurse Practitioner | 2616 Gallaway Cv, Jonesboro, AR 72404-7827 | 2020-06-22 |
| 1891319745 | Heather Nichole Fesperman | Nurse Practitioner | 420 W Cooper Ave, West Memphis, AR 72301 | 2020-06-05 |
| 1588299291 | Chastity Qg Stephens | Nurse Practitioner | 2607 Alford Cv, Bryant, AR 72022-7527 | 2020-03-03 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.