Forget Me Not Ultrasound

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

FORGET ME NOT ULTRASOUND

Practice address

2054 #30TH Avenue
Fairbanks, AK 99701-5720

Phone

(907) 987-7523

NPI assigned

Jul 23, 2014

Last updated

Feb 16, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Roxanne Ertel, BA,CNMT,RDMS

Title

Ceo

Phone

(716) 984-4484

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1406073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455580800000",
    "number": "1407264328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3346 DUNDEE LOOP",
            "city": "NORTH POLE",
            "state": "AK",
            "postal_code": "997057481",
            "telephone_number": "907-488-1995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2054 #30TH AVENUE",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997015720",
            "telephone_number": "907-987-7523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORGET ME NOT ULTRASOUND",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-23",
        "last_updated": "2016-02-16",
        "status": "A",
        "authorized_official_last_name": "ERTEL",
        "authorized_official_first_name": "ROXANNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "716-984-4484",
        "authorized_official_credential": "BA,CNMT,RDMS"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Foot
• James Timothy Foote, M.D.
• Olivia Gene Foote, LPC
• Bruce M Footit, MD
• Montie Dale Ford, CDC 1
• Amanda Forsting, LPC
• Andrea Forte, COA
• Amanda Maureen Foster, M.S.
• Breanna Hallee Foster
• Dazie Y Foster

• Clinic/Center in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Clinic/Center in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.