Active NPI
Carolyn Kolb Forte, PA-C
- Physician Assistant
- Rocky Hill, CT
National Provider Identifier
1275903270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 3418
- Practice address
- 400 Capital Blvd
Rocky Hill, CT 06067-3576 - Phone
- (860) 221-0255
- NPI assigned
- Oct 2, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 3418 | CT | Primary |
Addresses
Primary practice location
400 Capital Blvd
Rocky Hill, CT 06067-3576
Mailing address
400 Capital Blvd
Rocky Hill, CT 06067-3576
Other practice location 1
22 Masonic Ave
Wallingford, CT 06492-3048
Phone (203) 679-5900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Masonicare Primary Care Physicians | Past | Accepting new patients | |
| Masonicare Behavioral Health, LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Port St Lucie, FL
- NPI 1033395397
-
- Geriatric Psychiatry Physician
- Wallingford, CT
- NPI 1992781488
-
- Geriatric Medicine (Internal Medicine) Physician
- Wallingford, CT
- NPI 1922084540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1275903270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 CAPITAL BLVD",
"city": "ROCKY HILL",
"state": "CT",
"postal_code": "060673576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 CAPITAL BLVD",
"city": "ROCKY HILL",
"state": "CT",
"postal_code": "060673576",
"telephone_number": "860-221-0255"
}
],
"practiceLocations": [
{
"address_1": "22 Masonic Ave",
"address_purpose": "LOCATION",
"city": "Wallingford",
"state": "CT",
"postal_code": "064923048",
"country_code": "US",
"telephone_number": "203-679-5900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FORTE",
"first_name": "CAROLYN",
"middle_name": "KOLB",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-02",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CT",
"license": "3418",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rocky Hill, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.