Individual provider Active NPI

Wanda Pauline Forshee, RDN

  • Obesity and Weight Management Nutrition Registered Dietitian
  • Port Saint Lucie, FL
National Provider Identifier
1538828256
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity and Weight Management Nutrition Registered DietitianTaxonomy code 133VN1201X
License
ND10900 Issued in FL
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
ND10900FLMDObesity and Weight Management Nutrition Registered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Joy Rising Nutrition Nutrition, Obesity and Weight Management CurrentSince Dec 6, 2022 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.

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.

Verify at the official NPI Registry.