Teresa Karen Fortner, MHPP

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

525 Wisteria Dr
North Little Rock, AR 72118-3567

Phone

(501) 594-5200

Fax

(594) 520-0524

NPI assigned

Jul 29, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217289600000",
    "number": "1225294374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 180",
            "city": "PARON",
            "state": "AR",
            "postal_code": "721220180",
            "telephone_number": "501-594-5200",
            "fax_number": "594-520-0524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 WISTERIA DR",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721183567",
            "telephone_number": "501-594-5200",
            "fax_number": "594-520-0524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTNER",
        "first_name": "TERESA",
        "middle_name": "KAREN",
        "name_prefix": "Mrs.",
        "credential": "MHPP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-29",
        "last_updated": "2008-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renaldo Foreman
• Julia Rose Forrest
• Valerie J Forrest, PT, DPT
• Forshaw Wellness LLC
• James Mitchell Fortner, MHPP
• Deanne J. Fortson, PT
• Chloe Madison Foster
• Michelle Laraine Foster, BA, MHPP
• Sarah Angeline Foster, PTA
• Tammer Fountain, BA

• Case Manager/Care Coordinator in North Little Rock, AR
• Providers in North Little Rock, AR by specialty
• Case Manager/Care Coordinator in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; 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.