Active NPI
Schwanna Fortenberry, NP
- Family Nurse Practitioner
- Cypress, TX
National Provider Identifier
1164968681
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(4) exclusion effective Oct 19, 2023.
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 713940
- Practice address
- 14438 Light Falls CT
Cypress, TX 77429-4816 - Phone
- (281) 685-4479
- NPI assigned
- Jan 7, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 713940 | TX | Primary |
Addresses
Primary practice location
14438 Light Falls CT
Cypress, TX 77429-4816
Mailing address
14438 Light Falls CT
Cypress, TX 77429-4816
Phone (281) 685-4479
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 713940 | TX | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483747200000",
"number": "1164968681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14438 LIGHT FALLS CT",
"city": "CYPRESS",
"state": "TX",
"postal_code": "774294816",
"telephone_number": "281-685-4479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14438 LIGHT FALLS CT",
"city": "CYPRESS",
"state": "TX",
"postal_code": "774294816",
"telephone_number": "281-685-4479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORTENBERRY",
"first_name": "SCHWANNA",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-07",
"last_updated": "2017-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "713940",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cypress, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.