Kirsten M Fotheringham

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

6217 Knapp Rd
Ravenna, OH 44266-7911

Phone

(330) 221-5881

NPI assigned

Dec 9, 2021

Last updated

Dec 9, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1639008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1336808112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6217 KNAPP RD",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442667911",
            "telephone_number": "330-221-5881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6217 KNAPP RD",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442667911",
            "telephone_number": "330-221-5881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "275 Martinel Dr",
            "address_purpose": "LOCATION",
            "city": "Kent",
            "state": "OH",
            "postal_code": "442404380",
            "country_code": "US",
            "telephone_number": "330-221-5881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOTHERINGHAM",
        "first_name": "KIRSTEN",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-09",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Artrel Keshon Ford
• Kerry Formick, M. A., CCC-SLP
• Robin L Formick, E.0004226
• Arian Foster
• Carolyn Ann Foster
• Heather Fought
• Rachel Ann France, LPCC-S
• Elisha Tzvi Fredman, MD
• Derek Frost, PHARM.D.
• Carol A. Frye, RN

• Case Manager/Care Coordinator in Ravenna, OH
• Providers in Ravenna, OH by specialty
• Case Manager/Care Coordinator in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; 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.