Tanisha Forrest

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

254529 Issued in SC

Practice address

221 Waters Run LN
Simpsonville, SC 29681-8701

Phone

(614) 973-3379

NPI assigned

Sep 13, 2019

Sex

Female

Sole proprietor

No

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.

• Nursing From Heart Health Services

  • Homemaker
  • Austin, TX
  • NPI 1205780236
  NPD Authorized official

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1568332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610928000000",
    "number": "1366092066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 WATERS RUN LN",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296818701",
            "telephone_number": "614-973-3379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 WATERS RUN LN",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296818701",
            "telephone_number": "614-973-3379"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5060 Lindora Dr",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432324647",
            "country_code": "US",
            "telephone_number": "614-973-3379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORREST",
        "first_name": "TANISHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-13",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "456190",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SC",
            "license": "254529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "COLUMBUS",
            "affiliation": "N",
            "address_1": "5060 Lindora Dr",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432324647",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Christopher Jordan Floyd, PT, DPT, OCS, ATC
• Foothills Chiropractic, LLC
• Foothills Oral & Facial Surgery, PA
• Margaret Anne Ford, M.A, CCC-SLP
• Forever Young Innovative Therapy Solutions, LLC
• Haley Nicole Fortenberry, PT, DPT
• Deleah Foster, MA, LPC
• Devin Wayne Foust, DC
• David Fowler, LMT
• Kelli Fowler

• All providers in Simpsonville, SC
• Registered Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.