Robin Lianne Forward-Wise, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

E-7457 Issued in AR

Practice address

515 Enterprise Dr
Suite 300
Lowell, AR 72745-8975

Phone

(479) 717-7626

Fax

(479) 717-7627

NPI assigned

Apr 22, 2008

Last updated

Jul 29, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469750400000",
    "number": "1407021330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 ENTERPRISE DR",
            "address_2": "SUITE 300",
            "city": "LOWELL",
            "state": "AR",
            "postal_code": "727458975",
            "telephone_number": "479-717-7626",
            "fax_number": "479-717-7627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 ENTERPRISE DR",
            "address_2": "SUITE 300",
            "city": "LOWELL",
            "state": "AR",
            "postal_code": "727458975",
            "telephone_number": "479-717-7626",
            "fax_number": "479-717-7627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORWARD-WISE",
        "first_name": "ROBIN",
        "middle_name": "LIANNE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-22",
        "last_updated": "2016-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AR",
            "license": "E-7457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Grace Fetters, ARNP
• Imelda Rosas Flores
• Katelyn Ivy Forbis Roth
• Chad Dwain Ford
• David B. Fort Jr., M.D.
• Nerissa S France
• Michael Antoni Franklin, MS,CF-SLP
• Ryan M Frederick, LPC
• Friendship Community Care
• Marcia Lynn Fuller, M.S.

• Psychiatry Physician in Lowell, AR
• Providers in Lowell, AR by specialty
• Psychiatry Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2016; 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.