Tablerock Health LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

TABLEROCK HEALTH LLC

Practice address

3200 Gretna Rd Unit 110
Branson, MO 65616-7461

Phone

(417) 317-1908

NPI assigned

Jan 13, 2026

Organization subpart

No

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

Authorized official

Name

Mr. Ryan Derek Forrest, FNP-BCNPI 1932077237

Title

Co-Owner

Phone

(417) 559-6679

Specialties & licenses 1

Addresses

Tax ID family

Tablerock Health LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Tablerock Health LLC

  • Rural Health Clinic/Center
  • Branson, MO
  • NPI 1245146141
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ryan Derek Forrest

  • Family Nurse Practitioner
  • Branson, MO
  • NPI 1932077237
  NPD Authorized official

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

{
    "created_epoch": "1768262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784160000000",
    "number": "1144188673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 GRETNA RD UNIT 110",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656167461",
            "telephone_number": "417-317-1908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 GRETNA RD UNIT 110",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656167461",
            "telephone_number": "417-317-1908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TABLEROCK HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-13",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A",
        "authorized_official_last_name": "FORREST",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "DEREK",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "417-559-6679",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra Sturdy
• Anne B. Summers, PH.D.
• Surgery Center of Branson LLC
• Surgical Associates,M.D.,PC
• Table Rock Family Care Clinic, LLC
• Tablerock Health LLC
• Darin L.. Talley, MD
• Richard Tallon
• Amanda Tenholder
• Richard Lewis Thayer Jr., PSY.D.

• Family Medicine Physician in Branson, MO
• Providers in Branson, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; 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.