Individual provider Active NPI

Katie Leanne Forsman, NP

  • Nurse Practitioner
  • Coeur D' Alene, ID
National Provider Identifier
1467619635
Registry record updated Jul 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP874A Issued in ID
Practice address
980 W. Ironwood
Suite 101
Coeur D' Alene, ID 83814
Phone
(208) 765-1455
Fax
(208) 667-8655
NPI assigned
May 16, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP874A ID Primary
Nurse Practitioner 363L00000X N32423 ID

Addresses

Primary practice location

980 W. Ironwood
Suite 101
Coeur D' Alene, ID 83814

Mailing address

980 W. Ironwood
Suite 101
Coeur D' Alene, ID 83814
Phone (208) 765-1455

Other names 1

  • Katie Leanne Holte Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20081006000529 ID Practitioner - Nurse Practitioner 8820166762

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Care for Women P aGroup PAC ID 9234187378, 5 clinicians

Practice addresses (Care Compare)

980 W Ironwood Dr
Suite 101
Coeur D Alene, ID 83814-2668
Phone 2087651455120

Hospital & facility affiliations

  • Kootenai Health Hospital, Coeur D'Alene, ID, CCN 130049

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N32423IDMDNurse Practitioner
NP874AIDMDNurse Practitioner

Interoperability endpoints

  • Direct secure messaging: kforsman@healthcareforwomen.gwaydirect.com

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280275200000",
    "number": "1467619635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 W. IRONWOOD",
            "address_2": "SUITE 101",
            "city": "COEUR D' ALENE",
            "state": "ID",
            "postal_code": "83814",
            "telephone_number": "208-765-1455",
            "fax_number": "208-667-8655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 W. IRONWOOD",
            "address_2": "SUITE 101",
            "city": "COEUR D' ALENE",
            "state": "ID",
            "postal_code": "83814",
            "telephone_number": "208-765-1455",
            "fax_number": "208-667-8655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORSMAN",
        "first_name": "KATIE",
        "middle_name": "LEANNE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-16",
        "last_updated": "2010-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "NP874A",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "N32423",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "HOLTE",
            "middle_name": "LEANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Coeur D' Alene, ID

Sources for this page

Verify at the official NPI Registry.