Active NPI
Deborah Forry
- Nursing Care Agency
- Spartanburg, SC
National Provider Identifier
1205238755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- License
- 22241
- Practice address
- 355 Cedar Springs Rd
Spartanburg, SC 29302-4628 - Phone
- (864) 577-7780
- Fax
- (864) 577-7629
- NPI assigned
- Sep 16, 2014
- Last updated
- Sep 16, 2014
- 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 |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | 22241 | SC | Primary |
Addresses
Primary practice location
355 Cedar Springs Rd
Spartanburg, SC 29302-4628
Mailing address
355 Cedar Springs Rd
Spartanburg, SC 29302-4628
Phone (864) 577-7780
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 |
|---|---|---|---|
| 22241 | SC | MD | Acute Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410825600000",
"number": "1205238755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "355 CEDAR SPRINGS RD",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293024628",
"telephone_number": "864-577-7780",
"fax_number": "864-577-7629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 CEDAR SPRINGS RD",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293024628",
"telephone_number": "864-577-7780",
"fax_number": "864-577-7629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORRY",
"first_name": "DEBORAH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-16",
"last_updated": "2014-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "SC",
"license": "22241",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spartanburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.