Active NPI
Carmen Forge
- Health Educator
- Lewisville, TX
National Provider Identifier
1093126641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- Practice address
- 1343 Applegate Dr
Lewisville, TX 75067-3301 - Phone
- (972) 891-1429
- Fax
- (972) 619-8789
- NPI assigned
- May 16, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | TX | ||
| Health Educator | 174H00000X | TX | Primary |
Addresses
Primary practice location
1343 Applegate Dr
Lewisville, TX 75067-3301
Mailing address
PO Box 3972
Cedar Hill, TX 75106-3972
Phone (972) 891-1429
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400198400000",
"number": "1093126641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3972",
"city": "CEDAR HILL",
"state": "TX",
"postal_code": "751063972",
"telephone_number": "972-891-1429",
"fax_number": "972-619-8789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1343 APPLEGATE DR",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750673301",
"telephone_number": "972-891-1429",
"fax_number": "972-619-8789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORGE",
"first_name": "CARMEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-16",
"last_updated": "2014-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lewisville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.