Active NPI
Rachel Renee Forrester
- Speech-Language Pathologist
- Lander, WY
National Provider Identifier
1396589693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP-1329
- Practice address
- 634 Main St.
Lander, WY 82520 - Phone
- (307) 332-2715
- Fax
- (307) 332-0314
- NPI assigned
- Jun 21, 2024
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP-1329 | WY | Primary |
Addresses
Primary practice location
634 Main St.
Lander, WY 82520
Mailing address
634 Main St.
Lander, WY 82520
Phone (307) 260-8093
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260117000250 | GA | Practitioner - Qualified Speech Language Pathologist | 9335626696 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4560 Courtland Cir
Hahira, GA 31632-2608
4613 Caden PL
Valdosta, GA 31601-5689
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP-1329 | WY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Therapy Solutions LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Sinks Canyon Therapies Inc | Speech-Language Pathologist | Current | Accepting new patients |
| Osback Pharmaceuticals Inc | Past | Accepting new patients |
Locations
3256 N Valdosta Rd
Valdosta, GA 31602
Phone (229) 560-6944
634 Main St
Lander, WY 82520
Phone (307) 332-2715
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.
-
- Speech-Language Pathologist
- Valdosta, GA
- NPI 1457749087
GA, Speech-Language Pathologist
-
- Community/Retail Pharmacy
- Lander, WY
- NPI 1851462295
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719360000000",
"number": "1396589693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "634 MAIN ST.",
"city": "LANDER",
"state": "WY",
"postal_code": "82520",
"telephone_number": "307-260-8093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "634 MAIN ST.",
"city": "LANDER",
"state": "WY",
"postal_code": "82520",
"telephone_number": "307-332-2715",
"fax_number": "307-332-0314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORRESTER",
"first_name": "RACHEL",
"middle_name": "RENEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-21",
"last_updated": "2024-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WY",
"license": "SP-1329",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lander, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.