Individual provider Active NPI

Amanda Washburn Forbus, FNP

  • Nurse Practitioner
  • Charleston, SC
National Provider Identifier
1275726754
Registry record updated Feb 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3140 Issued in SC
Practice address
181 Calhoun St.
College of Charleston Student Heatlh
Charleston, SC 29424
Phone
(843) 953-5520
Fax
(843) 792-1729
NPI assigned
Aug 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3140 SC
Nurse Practitioner 363L00000X 3140 SC Primary

Addresses

Primary practice location

181 Calhoun St.
College of Charleston Student Heatlh
Charleston, SC 29424

Mailing address

160 Rutledge Ave
Charleston, SC 29403-5821
Phone (843) 792-6906

Other names 1

  • Amanda Christine Washburn Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422835200000",
    "number": "1275726754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 RUTLEDGE AVE",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294035821",
            "telephone_number": "843-792-6906",
            "fax_number": "843-792-1729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 CALHOUN ST.",
            "address_2": "COLLEGE OF CHARLESTON STUDENT HEATLH",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "29424",
            "telephone_number": "843-953-5520",
            "fax_number": "843-792-1729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORBUS",
        "first_name": "AMANDA",
        "middle_name": "WASHBURN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-20",
        "last_updated": "2015-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "3140",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "3140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "WASHBURN",
            "middle_name": "CHRISTINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2015; 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.