Individual provider Active NPI

Denai Lynn Forrest, DNP APRN-CNP PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Belen, NM
National Provider Identifier
1447734165
Registry record updated Oct 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
53911 Issued in NM
Practice address
19478 Highway 314
Belen, NM 87002-8223
Phone
(505) 357-4385
NPI assigned
Sep 19, 2018
Last updated
Oct 7, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 53911 NM Primary

Addresses

Primary practice location

19478 Highway 314
Belen, NM 87002-8223

Mailing address

1224 Silva Rd
Belen, NM 87002-7563
Phone (505) 314-4966

Other practice location 1

536 Los Lentes Rd SE
Los Lunas, NM 87031-6832
Phone (505) 944-6626

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191219000289 NM Practitioner - Nurse Practitioner 2365876653 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1224 Silva Rd
Belen, NM 87002-7563
Phone (505) 357-4385

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Triquetra Therapy Services, LLC Psychiatric/Mental Health CurrentSince Nov 7, 2019 Accepting new patients
Mandala Group Inc. CurrentSince Oct 13, 2019 Accepting new patients
Heart & Soul of NM, Inc CurrentSince Apr 18, 2022 Accepting new patients

Locations

19478 Highway 314
Belen, NM 87002
Phone (505) 357-4385

838 W Didier Ave
Belen, NM 87002
Phone (505) 312-0040

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1537315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570406400000",
    "number": "1447734165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 SILVA RD",
            "city": "BELEN",
            "state": "NM",
            "postal_code": "870027563",
            "telephone_number": "505-314-4966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19478 HIGHWAY 314",
            "city": "BELEN",
            "state": "NM",
            "postal_code": "870028223",
            "telephone_number": "505-357-4385"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "536 Los Lentes Rd SE",
            "address_purpose": "LOCATION",
            "city": "Los Lunas",
            "state": "NM",
            "postal_code": "870316832",
            "country_code": "US",
            "telephone_number": "505-944-6626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORREST",
        "first_name": "DENAI",
        "middle_name": "LYNN",
        "credential": "DNP APRN-CNP PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-19",
        "last_updated": "2019-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NM",
            "license": "53911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belen, NM

Sources for this page

Verify at the official NPI Registry.