Jade Forbush, RDMS

Primary specialty

Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X

License

194823 Issued in ID

Practice address

1334 N Main St
Pocatello, ID 83204-2610

Phone

(208) 539-7399

Fax

(208) 417-0882

NPI assigned

Jul 24, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sentiments 4D Ultrasound Studio

  • Sonography Radiologic Technologist
  • Pocatello, ID
  • NPI 1285464529

  Multi-Specialty

  NPD Authorized official

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1205516184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 SOMERSET DR",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832012776",
            "telephone_number": "208-539-7399",
            "fax_number": "208-417-0882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1334 N MAIN ST",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832042610",
            "telephone_number": "208-539-7399",
            "fax_number": "208-417-0882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORBUSH",
        "first_name": "JADE",
        "credential": "RDMS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-24",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471S1302X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Sonography",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "ID",
            "license": "194823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael P Foley, PT
• Stephanie Dianne Follett, FNP-C
• Steven Larry Follett, M.D.
• Chanelle Renee Foltz
• Gwendoline Fonebi, M.D.
• Rex W Force, PHARMD
• Gregory M Ford, MD
• Kristy Lynn Fordyce, PHARMD
• John M Fornarotto, M.D.
• Tanya R Forsman, MC

• Diagnostic Ultrasound Physician in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Diagnostic Ultrasound Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.