Individual provider Active NPI

Amy Elizabeth Forrest-Readdy, DC

  • Chiropractor
  • Long Beach, CA
National Provider Identifier
1730601998
Registry record updated Nov 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
33958 Issued in CA
Practice address
4425 Atlantic Ave Ste A10
Long Beach, CA 90807-2245
Phone
(562) 270-5503
Fax
(562) 961-7660
NPI assigned
Jul 10, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 33958 CA Primary

Addresses

Primary practice location

4425 Atlantic Ave Ste A10
Long Beach, CA 90807-2245

Mailing address

528 Tremont Ave
Long Beach, CA 90814-3036
Phone (562) 270-5503

Other practice location 1

6324 E Pacific Coast Hwy
Long Beach, CA 90803-4840
Phone (562) 493-5600

Other names 1

  • Amy Elizabeth Forrest Former name

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

State licenses

LicenseStateTypeSpecialty
33958CAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1499644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541376000000",
    "number": "1730601998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 TREMONT AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908143036",
            "telephone_number": "562-270-5503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 ATLANTIC AVE STE A10",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072245",
            "telephone_number": "562-270-5503",
            "fax_number": "562-961-7660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6324 E Pacific Coast Hwy",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908034840",
            "country_code": "US",
            "telephone_number": "562-493-5600",
            "fax_number": "562-493-5658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORREST-READDY",
        "first_name": "AMY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-10",
        "last_updated": "2018-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "FORREST",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2018; 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.