Organization Active NPI

Lorna Forbes Nurse Practitioner in Family Health PLLC

  • Family Nurse Practitioner
  • Auburn, NY
National Provider Identifier
1194384834
Registry record updated Jul 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
LORNA FORBES NURSE PRACTITIONER IN FAMILY HEALTH PLLC
Practice address
33 William St
Auburn, NY 13021-3894
Phone
(315) 751-7127
Fax
(315) 748-5377
NPI assigned
Jun 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2020

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

Authorized official

Name
Lorna Cordella Forbes, NPNPI 1477873776
Title
Owner
Phone
(315) 751-7127

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

33 William St
Auburn, NY 13021-3894

Mailing address

8417 Hobnail Rd
Manlius, NY 13104-9332
Phone (315) 420-1546

Other identifiers 1

IdentifierTypeStateIssuer
1477873776MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL lornaforbesnursepractitioner@gmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200821001466 NY Part B Supplier - Clinic/Group Practice 6507282423 Receives reassigned benefits from 4 practitioners
Practice locations: Fayetteville, NY

National Provider Directory

National Provider Directory

Locations

33 William St
Auburn, NY 13021
Phone (315) 416-1275

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1559779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594944000000",
    "number": "1194384834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8417 HOBNAIL RD",
            "city": "MANLIUS",
            "state": "NY",
            "postal_code": "131049332",
            "telephone_number": "315-420-1546",
            "fax_number": "315-315-7485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 WILLIAM ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130213894",
            "telephone_number": "315-751-7127",
            "fax_number": "315-748-5377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORNA FORBES NURSE PRACTITIONER IN FAMILY HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-06",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A",
        "authorized_official_last_name": "FORBES",
        "authorized_official_first_name": "LORNA",
        "authorized_official_middle_name": "CORDELLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-751-7127",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477873776",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "lornaforbesnursepractitioner@gmail.com",
            "affiliation": "N",
            "endpointDescription": "direct email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "33 William St",
            "city": "Auburn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "130213894",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Auburn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.