MS. IRENE LYNETTE FORREST (NPI# 1679756787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679756787 |
| Entity Type | Individual |
| Full Name | MS. IRENE LYNETTE FORREST |
| Credential | ARNP-C |
| Practice Address |
340 S Willard St Cottonwood AZ 86326-4126 |
| Mailing Address |
13000 Bruce B Downs Blvd Tampa FL 33612-4745 |
| Practice Telephone | 9286396025 |
| Practice Fax Number | 9286346504 |
| Mailing Telephone | 8139722000 |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2020-09-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | AP4370 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | 2775872 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 308876600 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 13000 Bruce B Downs Blvd, Tampa, FL 336124745 | 8139722000 |
| Street Address |
340 S WILLARD ST |
| City | COTTONWOOD |
| State | AZ |
| Zip Code | 86326-4126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699776823 | Steven J Kurzweil | Urology | 340 S Willard St, Cottonwood, AZ 86326-4126 | 2005-08-10 |
| 1730517095 | Kimberly K Jeffrey | Nurse Practitioner | 340 S Willard St, Cottonwood, AZ 86326-4126 | 2013-10-24 |
| 1437312147 | Andrea Cristina Gonzalez | Family Medicine | 340 S Willard St, Cottonwood, AZ 86326-4126 | 2008-07-03 |
| 1245452713 | William Hallier | Orthopaedic Surgery | 340 S Willard St, Cottonwood, AZ 86326-4126 | 2007-05-03 |
| 1396963914 | Paula K Rauschkolb | Psychiatry & Neurology | 340 S Willard St, Cottonwood, AZ 86326-4126 | 2007-04-20 |
| 1013092543 | Kim Marie Carlton | Physician Assistant | 340 S Willard St, Cottonwood, AZ 86326-4126 | 2006-10-25 |
| 1225052566 | Carrie Heisinger | Physician Assistant | 340 S Willard St, Cottonwood, AZ 86326-4126 | 2006-07-27 |
| 1588680516 | James Paul Arthur | Family Medicine | 340 S Willard St, Cottonwood, AZ 86326-4126 | 2006-07-14 |
| 1255369302 | S Blair Faulkner | Surgery | 340 S Willard St, Cottonwood, AZ 86326-4126 | 2006-06-29 |
| 1346290962 | Cynthia Earhart Martin | Internal Medicine | 340 S Willard St, Cottonwood, AZ 86326-4126 | 2006-05-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679954895 | Isabelle Maisse Griffith | Pharmacist | 1100 E Highway 89a, Cottonwood, AZ 86326 | 2015-06-12 |
| 1184982266 | Northern Arizona Healthcare Provider Group, LLC | Family Medicine | 450 South Willard Street, Cottonwood, AZ 86326 | 2012-04-26 |
| 1922391663 | Ronald D. Carsrud | Hearing Instrument Specialist | 657 E Cottonwood St., Ste 6c, Cottonwood, AZ 86326 | 2011-05-26 |
| 1760712749 | Chuck Thomas Calvano | Pharmacist | 550 S Main, Cottonwood, AZ 86326 | 2010-01-13 |
| 1528231438 | Elizabeth Lightner Mccarrell | Emergency Medicine | 269 S Candy Lane, Cottonwood, AZ 86326 | 2008-04-11 |
| 1972783355 | The Wick Home for Emotional Growth and Recovery | Residential Treatment Facility, Emotionally Disturbed Children | 2102 E Fir St, Cottonwood, AZ 86326 | 2007-11-14 |
| 1750560165 | David T Sayle | Nurse Practitioner | 800 Cove Parkway, Cottonwood, AZ 86326 | 2007-11-01 |
| 1003001033 | Country Care Inc | Assisted Living Facility | 3980 E Cassie Lane, Cottonwood, AZ 86326 | 2007-09-12 |
| 1154527778 | Laurel A Mueller | Family Medicine | 51 Brian Mickelsen Pkwy, Community Health Center of Yavapai, Cottonwood, AZ 86326 | 2007-06-21 |
| 1841401700 | Bruce Alan Moseng | Chiropractor | 240 Jennifer Lane, Ste 103, Cottonwood, AZ 86326 | 2007-05-24 |
| Find all providers in zip 86326 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508046145 | Carol Joan Ebersole | Nurse Practitioner | 101 Spur Dr, Cottonwood, AZ 86326-4753 | 2007-11-12 |
| 1437229044 | Cathleen M Jochim | Nurse Practitioner | 696 E Mingus Ave, Cottonwood, AZ 86326-3759 | 2006-11-09 |
| 1235688227 | Kristin Henry | Nurse Practitioner | 8 E Cottonwood St, Cottonwood, AZ 86326-4382 | 2016-10-01 |
| 1215485529 | Shaunda Aylene Bueno | Nurse Practitioner | 269 S Candy Ln, Cottonwood, AZ 86326 | 2016-09-15 |
| 1518373901 | April Schleier | Nurse Practitioner | 450 S Willard St, Cottonwood, AZ 86326-6743 | 2014-07-07 |
| 1730511296 | Julia M Trainor | Nurse Practitioner | 450 S Willard St, Suite 115, Cottonwood, AZ 86326-6743 | 2013-08-06 |
| 1154556504 | Margaret A Gehring | Nurse Practitioner | 701 Lewiston Street, Cottonwood, ID 83522-9750 | 2009-05-28 |
| 1659553139 | Marvin L Colvin Do | Nurse Practitioner | 753 N Main St, Ste A, Cottonwood, AZ 86326-3649 | 2007-11-27 |
| 1063571206 | Alice Meyer | Nurse Practitioner | 800 Cove Pkwy, Cottonwood, AZ 86326-4644 | 2006-12-06 |
| 1164478699 | Donna Louise Bozzolo | Nurse Practitioner | 450 S Willard St, Suite 120, Cottonwood, AZ 86326-6743 | 2006-05-26 |
| Find all providers in COTTONWOOD | ||||
| City | COTTONWOOD |
| Zip Code | 86326 |
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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.