Sandra Forrester
Individual provider Active NPI Attendant Care Provider · Laurel Bloomery, TN
NPI 1417566175 · NPPES record last updated Jul 29, 2020
Key facts
- NPI
- 1417566175
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Attendant Care Provider 3747A0650X
- Practice address
- 1589 Gentry Creek Rd
Laurel Bloomery, TN 37680-4209 - Phone
- (423) 727-1553
- NPI assigned
- Jul 29, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Attendant Care Provider | 3747A0650X | Yes |
Addresses
Primary practice location
1589 Gentry Creek Rd
Laurel Bloomery, TN 37680-4209
Mailing address
1589 Gentry Creek Rd
Laurel Bloomery, TN 37680-4209
Phone (423) 727-1553
Other providers in Laurel Bloomery, TN
All providers in Laurel Bloomery, TN · Attendant Care Provider in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.