David Lionel Forester, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

34531 Issued in TN

Practice address

209 E Unaka Ave
Johnson City, TN 37601-4625

Phone

(423) 434-4677

NPI assigned

May 6, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Forester Clinic, P.C.

  • Adult Psychiatric/Mental Health Registered Nurse
  • Johnson City, TN
  • NPI 1598979858

  Psychiatry

  NPD (past) Authorized official

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

{
    "created_epoch": "1178409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1497967897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 TULIP ST",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376012118",
            "telephone_number": "423-232-2995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 E UNAKA AVE",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376014625",
            "telephone_number": "423-434-4677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORESTER",
        "first_name": "DAVID",
        "middle_name": "LIONEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-06",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "34531",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101045229",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G61701",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krista Lorelle Ford, DO
• Pamela Kay Ford, BS
• Timothy Aaron Ford, DO
• Forest Path Therapy Group LLC
• Forester Clinic, P.C.
• Rachel Forlow
• Emily Jeanne Fornwalt, LCMHC-S
• Sheila Walters Forrester, PHARMD
• Mary Rachel Forslin, BS
• Brittany Foster

• Psychiatry Physician in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Psychiatry Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.