Kimberly A Forsti, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9111470 Issued in FL

Practice address

3501 Health Center Blvd
Estero, FL 34135

Phone

(239) 949-6142

Fax

(239) 949-6104

NPI assigned

Jun 22, 2010

Last updated

Oct 22, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other names 1

• Kim Graves Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kinmed, P.a.

  • General Practice Physician
  • Estero, FL
  • NPI 1992206155

  Physician Assistant

  NPD
• Cleopatra Rejuvenation Clinic, PLLC

  • Specialist
  • Renton, WA
  • NPI 1538545348
  NPD (past)

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

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540166400000",
    "number": "1285955468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 HEALTH CENTER BLVD",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "341358127",
            "telephone_number": "239-949-6142",
            "fax_number": "239-949-6104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 HEALTH CENTER BLVD",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "34135",
            "telephone_number": "239-949-6142",
            "fax_number": "239-949-6104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 Pacific Ave",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984023302",
            "country_code": "US",
            "telephone_number": "253-680-6016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORSTI",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-22",
        "last_updated": "2018-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "01758",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA60511578",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9111470",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA60511578",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIM",
            "last_name": "GRAVES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Florida Neurology Group
• Florida Vision Centers Inc
• Traci Leigh Folsom
• Bianca Fontanez, MA LMHC
• Kayla Foreman
• Fort Myers Dermatopathology
• Audrey Fox, SOCIAL WORKER
• Daniel Jay Frank
• Althea Fraser
• Freeze Play Inc (Freeze Play Chiropractic and Cryotherapy)

• Physician Assistant in Estero, FL
• Providers in Estero, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2018; 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.