Dorshalle Forrest-Russell

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

2235 Dartmouth Ave
Columbus, OH 43219-2646

Phone

(614) 348-5969

NPI assigned

Feb 28, 2020

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

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Dorshalle Cleaning Service

  • Home Health Agency
  • Columbus, OH
  • NPI 1366065690
  NPD Authorized official

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

{
    "created_epoch": "1582848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582848000000",
    "number": "1245864248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2235 DARTMOUTH AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432192646",
            "telephone_number": "614-348-5969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2235 DARTMOUTH AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432192646",
            "telephone_number": "614-348-5969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORREST-RUSSELL",
        "first_name": "DORSHALLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-28",
        "last_updated": "2020-02-28",
        "certification_date": "2020-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "499759",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "URL",
            "affiliation": "N",
            "address_1": "2235 Dartmouth Ave",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432192646",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "614348-5969",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2235 Dartmouth Ave",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432192646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nancy Walker Forman, PHD
• Patricia R Forman, M.D.
• Nicole M Fornalski, PSYD
• Ella Mae Forney
• Nikkeya Forney, LPN
• Adrah Forrest
• Amanda Forrest, PHARMD, RPH
• Brenna Forrest
• Cassandra Forrest, RN
• Deonta Forrest

• All providers in Columbus, OH
• Home Health Aide in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2020; 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.