Active NPI
Forbes Wellness LLC
- Adult Health Nurse Practitioner
- Fairfax Station, VA
National Provider Identifier
1568020691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- Legal business name
- FORBES WELLNESS LLC
- Practice address
- 9107 Oak Chase CT
Fairfax Station, VA 22039-3333 - Phone
- (703) 690-8482
- NPI assigned
- Jun 4, 2019
- Last updated
- Jun 4, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jill E Forbes, NP
- Title
- Owner
- Phone
- (703) 690-8482
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | Primary |
Addresses
Primary practice location
9107 Oak Chase CT
Fairfax Station, VA 22039-3333
Mailing address
PO Box 828
Occoquan, VA 22125-0828
Phone (703) 690-8482
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
Enrollment records 2
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Gerontology Nurse Practitioner
- Vienna, VA
- NPI 1154850253
Adult Health, DC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559606400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1559606400000",
"number": "1568020691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 828",
"city": "OCCOQUAN",
"state": "VA",
"postal_code": "221250828",
"telephone_number": "703-690-8482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9107 OAK CHASE CT",
"city": "FAIRFAX STATION",
"state": "VA",
"postal_code": "220393333",
"telephone_number": "703-690-8482"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FORBES WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-06-04",
"last_updated": "2019-06-04",
"status": "A",
"authorized_official_last_name": "FORBES",
"authorized_official_first_name": "JILL",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "703-690-8482",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax Station, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.