Suzette Forrest-Smith, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

333771 Issued in NY

Practice address

950 E 231St St
Bronx, NY 10466-4608

Phone

(347) 207-9603

Fax

(718) 994-1279

NPI assigned

Feb 15, 2019

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

Other identifiers 2

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": "1550188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550188800000",
    "number": "1245796168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 E 231ST ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104664608",
            "telephone_number": "347-207-9603",
            "fax_number": "718-994-1279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 E 231ST ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104664608",
            "telephone_number": "347-207-9603",
            "fax_number": "718-994-1279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORREST-SMITH",
        "first_name": "SUZETTE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-15",
        "last_updated": "2019-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "333771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NON",
            "identifier": "NON",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "NA",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katie Rae Forman, D.O.
• Robert Forman, MD
• Eric Daniel Fornari, M.D.
• Elisangela Caetano Forni
• Golbon Foroughi
• Dara Forrester, M.D.
• Lynn Ann Forrester, MD
• Yvonne Forrester
• Celia Forster, CNM
• Fort Tryon Rehabilitation & Health Care Facility LLC

• Licensed Practical Nurse in Bronx, NY
• Providers in Bronx, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2019; 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.