Dianna Elizabeth Fort

Primary specialty

Hospice Registered NurseTaxonomy code 163WH1000X

License

RN158038 Issued in LA

Practice address

246 Atlantic Ave
Shreveport, LA 71105-3027

Phone

(318) 294-6337

NPI assigned

Dec 9, 2022

Last updated

Dec 9, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1670544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1487365599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 ATLANTIC AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711053027",
            "telephone_number": "318-294-6337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 ATLANTIC AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711053027",
            "telephone_number": "318-294-6337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORT",
        "first_name": "DIANNA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-09",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH1000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hospice",
            "state": "LA",
            "license": "RN158038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Forever Wellness & Recovery LLC
• Forever Wellness & Recovery LLC (Forever Wellness & Recovery Clinic)
• Forrest H Wright LLC
• Maribeth Forrest, P.A.-C
• Ashley N Fort, PA
• Juliana Melody Fort, MD
• Mary Kathryn Fort, NP
• Karl Fortenberry, RRT
• Anna Fortier
• Jessica Foshee

• Hospice Registered Nurse in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Hospice Registered Nurse in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; 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.