Active NPI
Holly Forbes, RD
- Registered Dietitian
- Fort Lauderdale, FL
National Provider Identifier
1124638549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- ND9393
- Practice address
- 318 W Dixie CT Apt 203
Fort Lauderdale, FL 33311-8985 - Phone
- (404) 587-5762
- NPI assigned
- Aug 1, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | ND9393 | FL | Primary |
Addresses
Primary practice location
318 W Dixie CT Apt 203
Fort Lauderdale, FL 33311-8985
Mailing address
318 W Dixie CT Apt 203
Fort Lauderdale, FL 33311-8985
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mochi Medical Ca PC | Past | Accepting new patients | |
| Saint Francis Medical Center | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- NPI 1578513016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596240000000",
"number": "1124638549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "318 W DIXIE CT APT 203",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333118985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "318 W DIXIE CT APT 203",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333118985",
"telephone_number": "404-587-5762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORBES",
"first_name": "HOLLY",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-01",
"last_updated": "2020-08-01",
"certification_date": "2020-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND9393",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.