Active NPI
Carol D. Forsyth, C.R.N.P.
- Pediatric Nurse Practitioner
- Severna Park, MD
National Provider Identifier
1689684136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- R128058
- Practice address
- 692 Ritchie Hwy # a
Severna Park, MD 21146-3919 - Phone
- (410) 544-5141
- NPI assigned
- Aug 8, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | R128058 | MD | Primary |
Addresses
Primary practice location
692 Ritchie Hwy # a
Severna Park, MD 21146-3919
Mailing address
PO Box 6429
Annapolis, MD 21401-0429
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)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R128058 | MD | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| The Pediatric Group LLP | Past | Accepting new patients | |
| The Pediatric Group, LLP | Past | Accepting new patients |
Interoperability endpoints
- carol.forsyth@tpedgrp.eclinicaldirectplus.com
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Pediatrics Physician
- Severna Park, MD
- NPI 1235942079
-
- Pediatrics Physician
- Davidsonville, MD
- NPI 1598779886
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689684136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6429",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214010429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "692 RITCHIE HWY # A",
"city": "SEVERNA PARK",
"state": "MD",
"postal_code": "211463919",
"telephone_number": "410-544-5141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORSYTH",
"first_name": "CAROL",
"middle_name": "D.",
"credential": "C.R.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MD",
"license": "R128058",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Severna Park, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.