Cecily Shae Forrest, LPN

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

L47894 Issued in AR

Practice address

708 Hwy 65 South
Dumas, AR 71639

Phone

(870) 382-4001

Fax

(870) 382-6094

NPI assigned

Feb 3, 2009

Last updated

Feb 3, 2009By 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

Practice roles

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.

• Delta Counseling Associates Inc

  • Community/Behavioral Health Agency
  • Monticello, AR
  • NPI 1053364612
  NPD (past)

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

{
    "created_epoch": "1233619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233619200000",
    "number": "1497993166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 ROBERTS DRIVE",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "71655",
            "telephone_number": "870-367-2461",
            "fax_number": "870-460-6133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 HWY 65 SOUTH",
            "city": "DUMAS",
            "state": "AR",
            "postal_code": "71639",
            "telephone_number": "870-382-4001",
            "fax_number": "870-382-6094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORREST",
        "first_name": "CECILY",
        "middle_name": "SHAE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-03",
        "last_updated": "2009-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "AR",
            "license": "L47894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natoyia Etherly
• F. David Chambers, M.D. PA
• Melissa Faler
• Fertile Soil LLC
• Brandun Marquise Flannigan, PTA
• Frankie's Child Care & Learning Center
• Christine Freeman, LPN
• Megan French
• Edward James Garland
• Jessica Lynn Garriott, NP-C

• Case Manager/Care Coordinator in Dumas, AR
• Providers in Dumas, AR by specialty
• Case Manager/Care Coordinator in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2009; 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.