Gina Diane Forrest, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

B01610 Issued in NV

Practice address

3841 W Charleston Blvd Ste 100
Las Vegas, NV 89102-1899

Phone

(702) 577-5829

NPI assigned

May 7, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC, NV2 enrollments

Enrollment records 2

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Golan Integrated Physical MedicineGroup PAC ID 2365678125, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Golan Integrated Physical Medicine

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Las Vegas, NV
  • NPI 1497195580

  Chiropractor

  Medicare reassignment Care Compare group NPD
• Golan Integrated Physical Medicine

  • Physical Medicine & Rehabilitation Physician
  • Grand Rapids, MI
  • NPI 1316419260

  Chiropractor

  NPD

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

{
    "created_epoch": "1336348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1578822805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 561564",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802561564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3841 W CHARLESTON BLVD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021899",
            "telephone_number": "702-577-5829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORREST",
        "first_name": "GINA",
        "middle_name": "DIANE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-07",
        "last_updated": "2024-01-16",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "SC",
            "license": "1058",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B01610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roy Forner
• Jessica Fornes, RN
• Catrina Fornesi
• Kim R Forni
• Douglas Forrest
• Lesa Christine Forrest
• Sarah F Forrest, PHARMD
• Shelly Forrest
• Steven Forrest
• Tahtianna Forrester, RBT

• Chiropractor in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Chiropractor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.