Katherine Welch Forsbach, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

17006 Issued in TN

Practice address

1565 Wayne Rd
Savannah, TN 38372-1581

Phone

(731) 727-8366

Fax

(731) 727-8367

NPI assigned

Oct 12, 2012

Last updated

Nov 27, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Vanderbilt University School of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Deaconess Homecare Home health agency, Savannah, TN, CCN 447201
• Hardin Medical Center Hospital, Savannah, TN, CCN 440109

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Tennessee Family Clinic

  • Primary Care Clinic/Center
  • Savannah, TN
  • NPI 1619412871

  5% Or Greater Direct Ownership Interest, Corporate Director, Operational/Managerial Control

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tennessee Family Clinic

  • Primary Care Clinic/Center
  • Savannah, TN
  • NPI 1619412871
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Gericare, LLC

  dba Deaconess HomeCare

  • Home Health Agency
  • Savannah, TN
  • NPI 1245221795
  Care Compare affiliation
• Hardin County General Hospital

  dba Hardin Medical Center

  • General Acute Care Hospital
  • Savannah, TN
  • NPI 1699754812
  Care Compare affiliation

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

{
    "created_epoch": "1350000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543276800000",
    "number": "1740532993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1387",
            "city": "SAVANNAH",
            "state": "TN",
            "postal_code": "383724387",
            "telephone_number": "731-727-8366",
            "fax_number": "731-727-8367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1565 WAYNE RD",
            "city": "SAVANNAH",
            "state": "TN",
            "postal_code": "383721581",
            "telephone_number": "731-727-8366",
            "fax_number": "731-727-8367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELCH FORSBACH",
        "first_name": "KATHERINE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-12",
        "last_updated": "2018-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "17006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q007178",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Lashae Vickery, COTA
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0268)
• Wal-Mart Stores East, LP (Vision Center 30-0268)
• Walgreen Co (Walgreens #10871)
• Ashley Wallace, FNP
• Wellness Ambulatory Care Inc. (BHG Medical Services Savannah)
• Bryan Wheeler
• Ellen White, B.S.W.
• Sherry D White, R.D.A.
• Justin Matthew Whitley, M.D.

• Family Nurse Practitioner in Savannah, TN
• Providers in Savannah, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• 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.

Verify at the official NPI Registry.