Chrishon Fortenberry, NURSE

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

30000354 Issued in LA

Practice address

3303 Tulane Ave # 3
New Orleans, LA 70119-7185

Phone

(504) 302-1323

Fax

(504) 324-4573

NPI assigned

Jul 5, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1656979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1730812124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 TULANE AVE # 3",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701197185",
            "telephone_number": "504-302-1323",
            "fax_number": "504-324-4573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 TULANE AVE # 3",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701197185",
            "telephone_number": "504-302-1323",
            "fax_number": "504-324-4573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTENBERRY",
        "first_name": "CHRISHON",
        "credential": "NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-05",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "LA",
            "license": "30000354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann S Forshag, MD
• Haley Forshag, LOTR
• Kayla Forstall, L.AC.
• Ouida Francis Forsyth, PHD
• Lisa Birdsall Fort, MD
• Phoebe Rose Fortenberry, DDS
• Viola Fortenberry
• Giulio Fortuna, DMD, PHD
• Stephen J Fortunato, M.D.
• Savannah Fos

• Licensed Practical Nurse in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Licensed Practical Nurse in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; 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.