Active NPI
Vivian Kimberley Morrison-Forest, DAC
- Acupuncturist
- Selma, AL
National Provider Identifier
1194578872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- U03089
- Practice address
- 509 Dallas Ave
Selma, AL 36701-5749 - Phone
- (202) 215-6389
- NPI assigned
- Apr 10, 2024
- Last updated
- Apr 10, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Acupuncturist | 171100000X | |||
| Acupuncturist | 171100000X | U03089 | MD | Primary |
Addresses
Primary practice location
509 Dallas Ave
Selma, AL 36701-5749
Mailing address
PO Box 534
Autaugaville, AL 36003-0534
Phone (202) 215-6389
Other practice location 1
362 County Road 17
Autaugaville, AL 36003-3002
Phone (120) 221-5638
Other practice location 2
3903 Dorchester Rd
Baltimore, MD 21207-7521
Phone (202) 215-6389
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| U03089 | MD | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712707200000",
"number": "1194578872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 534",
"city": "AUTAUGAVILLE",
"state": "AL",
"postal_code": "360030534",
"telephone_number": "202-215-6389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 DALLAS AVE",
"city": "SELMA",
"state": "AL",
"postal_code": "367015749",
"telephone_number": "202-215-6389"
}
],
"practiceLocations": [
{
"address_1": "362 County Road 17",
"address_purpose": "LOCATION",
"city": "Autaugaville",
"state": "AL",
"postal_code": "360033002",
"country_code": "US",
"telephone_number": "120-221-5638",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3903 Dorchester Rd",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212077521",
"country_code": "US",
"telephone_number": "202-215-6389",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORRISON-FOREST",
"first_name": "VIVIAN",
"middle_name": "KIMBERLEY",
"name_prefix": "Dr.",
"credential": "DAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-04-10",
"last_updated": "2024-04-10",
"certification_date": "2024-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": null,
"license": null,
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MD",
"license": "U03089",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Selma, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.