Active NPI
Jennifer Lynn Forsythe, RN
- Registered Nurse
- Anchorage, AK
National Provider Identifier
1407426810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 29254
- Practice address
- 670 W Fireweed LN Ste 160
Anchorage, AK 99503-2561 - Phone
- (907) 770-0862
- NPI assigned
- Jun 28, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 29254 | AK | Primary |
Addresses
Primary practice location
670 W Fireweed LN Ste 160
Anchorage, AK 99503-2561
Mailing address
8724 Blackberry St
Anchorage, AK 99502-5335
Phone (616) 304-5901
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29254 | AK | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624838400000",
"number": "1407426810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8724 BLACKBERRY ST",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995025335",
"telephone_number": "616-304-5901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "670 W FIREWEED LN STE 160",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995032561",
"telephone_number": "907-770-0862"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORSYTHE",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-28",
"last_updated": "2021-06-28",
"certification_date": "2021-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AK",
"license": "29254",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.