Individual provider Active NPI

Rachel Renee Forrester

  • Speech-Language Pathologist
  • Lander, WY
National Provider Identifier
1396589693
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP-1329 Issued in WY
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

Updated by the provider on Jun 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
SP-1329WYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Therapy Solutions LLC Speech-Language Pathologist CurrentSince Jan 1, 2026 Accepting new patients
Sinks Canyon Therapies Inc Speech-Language Pathologist CurrentSince Jun 23, 2024 Accepting new patients
Osback Pharmaceuticals Inc PastSince Jun 23, 2024 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.

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.

Verify at the official NPI Registry.