Individual provider Active NPI

Rosemary Boyle-Forsythe, RNP-C

  • Obstetrics & Gynecology Nurse Practitioner
  • Gilbert, AZ
National Provider Identifier
1366401556
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
042681 Issued in AZ
Practice address
1760 E Pecos Rd Ste 207
Gilbert, AZ 85295-3202
Phone
(480) 813-0944
Fax
(480) 813-0038
NPI assigned
Mar 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 042681 AZ Primary

Addresses

Primary practice location

1760 E Pecos Rd Ste 207
Gilbert, AZ 85295-3202

Mailing address

201 W Guadalupe Rd
Suite 310
Gilbert, AZ 85233-3332
Phone (480) 813-0944

Other identifiers 1

IdentifierTypeStateIssuer
466608MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150314000277 AZ Order and Referring Only - Nurse Practitioner 3476547241

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
042681AZMDObstetrics & Gynecology Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1366401556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W GUADALUPE RD",
            "address_2": "SUITE 310",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852333332",
            "telephone_number": "480-813-0944",
            "fax_number": "480-813-0038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 E PECOS RD STE 207",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852953202",
            "telephone_number": "480-813-0944",
            "fax_number": "480-813-0038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYLE-FORSYTHE",
        "first_name": "ROSEMARY",
        "credential": "RNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-17",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "AZ",
            "license": "042681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "466608",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.