Forrest Lee Cottrell, CMT

Primary specialty

Other TechnicianTaxonomy code 247200000X

Practice address

406 14TH St
Eureka, CA 95501-2313

Phone

(707) 502-4126

NPI assigned

Dec 1, 2008

Last updated

Dec 1, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Forrest Lee Cottrell Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1228089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228089600000",
    "number": "1609021948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 14TH ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955012313",
            "telephone_number": "707-502-4126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 14TH ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955012313",
            "telephone_number": "707-502-4126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTTRELL",
        "first_name": "FORREST",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "CMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-01",
        "last_updated": "2008-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FORREST",
            "last_name": "COTTRELL",
            "middle_name": "LEE",
            "prefix": "MR.",
            "credential": "CMT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• County of Humboldt (Humboldt County Behavioral Health)
• County of Humboldt (Humboldt County Behavioral Health - Sempervirens)
• County of Humboldt
• County of Humboldt

• Other Technician in Eureka, CA
• Providers in Eureka, CA by specialty
• Other Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2008; 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.