Forsyth Family Medical Clinic, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

120158 Issued in MO

Legal business name

FORSYTH FAMILY MEDICAL CLINIC, LLC

Practice address

10726 E Hwy 76
Ste. G
Forsyth, MO 65653

Phone

(417) 546-2590

Fax

(417) 546-2594

NPI assigned

Jun 18, 2010

Last updated

Apr 23, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sheila Louise Wyman, FNPNPI 1215154398

Title

FNP / Owner

Phone

(417) 546-2590

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sheila Louise Wyman, FNP

  • Family Nurse Practitioner
  • Forsyth, MO
  • NPI 1215154398
  Authorized official Same address or phone

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

{
    "created_epoch": "1276819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335139200000",
    "number": "1265753792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1239",
            "city": "FORSYTH",
            "state": "MO",
            "postal_code": "656531239",
            "telephone_number": "417-546-2590",
            "fax_number": "417-546-2594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10726 E HWY 76",
            "address_2": "STE. G",
            "city": "FORSYTH",
            "state": "MO",
            "postal_code": "65653",
            "telephone_number": "417-546-2590",
            "fax_number": "417-546-2594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORSYTH FAMILY MEDICAL CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-18",
        "last_updated": "2012-04-23",
        "status": "A",
        "authorized_official_last_name": "WYMAN",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "FNP / OWNER",
        "authorized_official_telephone_number": "417-546-2590",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "120158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Epps Chiropractic Center LLC
• Deborah Ann Epps, D.C.
• Sarah Elizabeth Ervin, L.M.T
• Family Pharmacy of Missouri LLC (Family Pharmacy #12)
• Family Pharmacy Partneship
• Forsyth Manor, Inc. (Forsyth Care Center)
• Forsyth Pharmacy, Inc. (Kramer's Forsyth Pharmacy)
• Forsyth R-III School District
• Forsyth Rehabilitation & Health Care Center LLC
• Julee Ann Fortner, FNP-BC

• Family Nurse Practitioner in Forsyth, MO
• Providers in Forsyth, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; 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.