Active NPI
Wanda Pauline Forshee, RDN
- Obesity and Weight Management Nutrition Registered Dietitian
- Port Saint Lucie, FL
National Provider Identifier
1538828256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obesity and Weight Management Nutrition Registered Dietitian
- License
- ND10900
- Practice address
- 744 SW Aruba Bay
Port Saint Lucie, FL 34986-3425 - Phone
- (859) 512-3160
- Fax
- (772) 758-5296
- NPI assigned
- Dec 9, 2021
- Last updated
- Jul 13, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obesity and Weight Management Nutrition Registered Dietitian | 133VN1201X | ND10900 | FL | Primary |
Addresses
Primary practice location
744 SW Aruba Bay
Port Saint Lucie, FL 34986-3425
Mailing address
744 SW Aruba Bay
Port Saint Lucie, FL 34986-3425
Phone (859) 512-3160
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | http://doxy.me/wpauline | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ND10900 | FL | MD | Obesity and Weight Management Nutrition Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joy Rising Nutrition | Nutrition, Obesity and Weight Management | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Obesity and Weight Management Nutrition Registered Dietitian
- Port Saint Lucie, FL
- NPI 1942910021
Nutrition, Obesity and Weight Management
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689206400000",
"number": "1538828256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "744 SW ARUBA BAY",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349863425",
"telephone_number": "859-512-3160",
"fax_number": "772-758-5296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "744 SW ARUBA BAY",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349863425",
"telephone_number": "859-512-3160",
"fax_number": "772-758-5296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORSHEE",
"first_name": "WANDA",
"middle_name": "PAULINE",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-09",
"last_updated": "2023-07-13",
"certification_date": "2023-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1201X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
"state": "FL",
"license": "ND10900",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "http://doxy.me/wpauline",
"affiliation": "N",
"endpointDescription": "HIPPA compliant site",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "HIPPA compliant site",
"address_1": "744 SW Aruba Bay",
"city": "Port Saint Lucie",
"state": "FL",
"country_code": "US",
"postal_code": "349863425",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Port Saint Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.