Forester Lyme Treatment Center

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD06029R Issued in LA

Legal business name

FORESTER LYME TREATMENT CENTER

Practice address

2809 Donahue Ferry Rd
Pineville, LA 71360-4513

Phone

(318) 641-0865

Fax

(318) 640-3290

NPI assigned

Aug 20, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Cheryl Bartel Forester

Title

Member, Secretary

Phone

(318) 641-0865

Specialties & licenses 1

Addresses

Practitioners 2

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

• Katrina Elaine Lloyd-Wims, MSN

  • Family Nurse Practitioner
  • Pineville, LA
  • NPI 1811078066
  NPD (past)
• Michael Eugene Wilmore II, PA-C

  • Physician Assistant
  • Washington, DC
  • NPI 1396806402
  NPD (past)

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

{
    "created_epoch": "1471651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471651200000",
    "number": "1184179079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 DONAHUE FERRY RD",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713604513",
            "telephone_number": "318-641-0865",
            "fax_number": "318-640-3290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 DONAHUE FERRY RD",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713604513",
            "telephone_number": "318-641-0865",
            "fax_number": "318-640-3290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORESTER LYME TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-20",
        "last_updated": "2016-08-20",
        "status": "A",
        "authorized_official_last_name": "FORESTER",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "BARTEL",
        "authorized_official_title_or_position": "MEMBER, SECRETARY",
        "authorized_official_telephone_number": "318-641-0865",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "MD06029R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bobbie Phillips Floyd
• Kathryn Folse
• Pamela Ann Fontenot, PT
• Carolyn H. Forch
• Joshua Richard Ford, MD
• Michael Eugene Fossler, M.D.
• Trinity J. Foster, D.D.S.
• Jarvis Fountaine, CIT
• Chris Franks, PHARMACIST
• Cynthia Tiese Frazier

• Family Medicine Physician in Pineville, LA
• Providers in Pineville, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2016; 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.