Organization Active NPI

Advanced Healthcare Associates, LLC

  • Family Nurse Practitioner
  • Fredonia, KS
National Provider Identifier
1194451526
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
ADVANCED HEALTHCARE ASSOCIATES, LLC
Practice address
928 N 3Rd St
Fredonia, KS 66736-2166
Phone
(620) 288-1030
NPI assigned
Jul 27, 2022
Last updated
Jul 28, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2022

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

Authorized official

Name
Mrs. Lindsay Lee Forrester, APRNNPI 1023447984
Title
Co-Owner, Aprn
Phone
(620) 288-1030

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

928 N 3Rd St
Fredonia, KS 66736-2166

Mailing address

928 N 3Rd St
Fredonia, KS 66736-2166
Phone (620) 288-1030

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220928000678 KS Part B Supplier - Clinic/Group Practice 0547646614 Receives reassigned benefits from 4 practitioners
Practice locations: Fredonia, KS

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D2266533Advanced Healthcare Associates, LLC928 N 3Rd St, Fredonia, KS 66736Certificate of waiverAug 10, 2026

National Provider Directory

National Provider Directory

Locations

928 N 3rd St
Fredonia, KS 66736
Phone (620) 288-1030

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658966400000",
    "number": "1194451526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "928 N 3RD ST",
            "city": "FREDONIA",
            "state": "KS",
            "postal_code": "667362166",
            "telephone_number": "620-288-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 N 3RD ST",
            "city": "FREDONIA",
            "state": "KS",
            "postal_code": "667362166",
            "telephone_number": "620-288-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HEALTHCARE ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-27",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A",
        "authorized_official_last_name": "FORRESTER",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CO-OWNER, APRN",
        "authorized_official_telephone_number": "620-288-1030",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredonia, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.