Lynne W Forrette, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

RN177356 Issued in CA

Practice address

255 New York Ranch Rd
Suite C
Jackson, CA 95642-2174

Phone

(209) 223-2034

NPI assigned

Mar 14, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251244800000",
    "number": "1104959345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 NEW YORK RANCH RD",
            "address_2": "SUITE C",
            "city": "JACKSON",
            "state": "CA",
            "postal_code": "956422174",
            "telephone_number": "209-233-2034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 NEW YORK RANCH RD",
            "address_2": "SUITE C",
            "city": "JACKSON",
            "state": "CA",
            "postal_code": "956422174",
            "telephone_number": "209-223-2034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORRETTE",
        "first_name": "LYNNE",
        "middle_name": "W",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2009-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "RN177356",
            "primary": true
        },
        {
            "code": "363LP1700X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Perinatal",
            "state": "CA",
            "license": "7657",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farhad Kiani DDS PC
• Sabrina Marie Fazendin
• Kelsey M Fereria
• Aidan Flynn, DDS
• Amy Julaine Foraker, LPCC
• April Marie Friend, LVN
• James Willard Frier, DDS
• Steven J Fronk, O.D.
• Steven C. Gabaeff, MD
• Heidi Galvez

• Adult Health Nurse Practitioner in Jackson, CA
• Providers in Jackson, CA by specialty
• Adult Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.