Individual provider Active NPI

Katherine Forbes-Smith, NP.

  • Family Nurse Practitioner
  • Bridgewater, MA
National Provider Identifier
1619958725
Registry record updated Aug 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
237568 Issued in MA
Practice address
1029 Pleasant St
Suite 100
Bridgewater, MA 02324
Phone
(508) 697-8116
Fax
(508) 697-8117
NPI assigned
Nov 7, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 237568 MA Primary

Addresses

Primary practice location

1029 Pleasant St
Suite 100
Bridgewater, MA 02324

Mailing address

1029 Pleasant St
Suite 100
Bridgewater, MA 02324
Phone (508) 697-8116

Other identifiers 1

IdentifierTypeStateIssuer
0387410MedicaidMA

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)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgewater Pediatrics LLC CurrentSince Apr 1, 2021 Accepting new patients
The Well - a Center for Hope and Healing CurrentSince Dec 2, 2011 Accepting new patients

Locations

1029 Pleasant St
Bridgewater, MA 02324
Phone (508) 697-1070

232 Broad St
Bridgewater, MA 02324
Phone (508) 697-1070

1029 Pleasant St
Ste 100
Bridgewater, MA 02324
Phone (508) 697-8116

Interoperability endpoints

  • Direct secure messaging: kforbessmith12496@direct.chppoc.masshiway.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470787200000",
    "number": "1619958725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 PLEASANT ST",
            "address_2": "SUITE 100",
            "city": "BRIDGEWATER",
            "state": "MA",
            "postal_code": "02324",
            "telephone_number": "508-697-8116",
            "fax_number": "508-697-8117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 PLEASANT ST",
            "address_2": "SUITE 100",
            "city": "BRIDGEWATER",
            "state": "MA",
            "postal_code": "02324",
            "telephone_number": "508-697-8116",
            "fax_number": "508-697-8117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORBES-SMITH",
        "first_name": "KATHERINE",
        "credential": "NP.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-07",
        "last_updated": "2016-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "237568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0387410",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgewater, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; 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.