Active NPI
Rachel Forrest
- Speech-Language Pathologist
- Cordova, TN
National Provider Identifier
1689358822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 6973
- Practice address
- 36 Bazeberry Rd
Cordova, TN 38018-7754 - Phone
- (901) 299-6139
- NPI assigned
- Jun 9, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 6973 | TN | Primary |
Addresses
Primary practice location
36 Bazeberry Rd
Cordova, TN 38018-7754
Mailing address
12544 Bravo Rd
Collierville, TN 38017-4983
Phone (901) 299-6139
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6605 N Quail Hollow Rd
Memphis, TN 38120-1323
Phone (901) 613-4064
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6973 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthpro Heritage Rehab & Fitness, LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Healthpro Heritage Rehab & Fitness, LLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
960 S Seivers Blvd
Clinton, TN 37716
Phone (865) 270-3178
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.
-
- Physical Therapist
- Clinton, TN
- NPI 1376073262
Speech-Language Pathologist
-
- Physical Therapist
- Independence, MO
- NPI 1871072462
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686268800000",
"number": "1689358822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12544 BRAVO RD",
"city": "COLLIERVILLE",
"state": "TN",
"postal_code": "380174983",
"telephone_number": "901-299-6139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 BAZEBERRY RD",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380187754",
"telephone_number": "901-299-6139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORREST",
"first_name": "RACHEL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-06-09",
"last_updated": "2023-06-09",
"certification_date": "2023-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TN",
"license": "6973",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cordova, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; 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.