Fortitude Pediatric Healthcare LLC

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

803475 Issued in TX

Legal business name

FORTITUDE PEDIATRIC HEALTHCARE LLC

Practice address

6715 Apricot LN
Frisco, TX 75035-7718

Phone

(346) 333-8159

NPI assigned

Feb 5, 2018

Organization subpart

No

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

Authorized official

Name

Jenna Martin, RNNPI 1326543208

Title

Co-Owner

Phone

(972) 837-9527

Specialties & licenses 1

Addresses

Other names 1

• Fortitude Pediatrics Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jenna Martin, RN

  • Registered Nurse
  • Frisco, TX
  • NPI 1326543208
  NPD (past) Authorized official

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

{
    "created_epoch": "1517788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517788800000",
    "number": "1740789742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6715 APRICOT LN",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750357718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6715 APRICOT LN",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750357718",
            "telephone_number": "346-333-8159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORTITUDE PEDIATRIC HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-05",
        "last_updated": "2018-02-05",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "JENNA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "972-837-9527",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": "TX",
            "license": "803475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fortitude Pediatrics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Nina Kehtar Forouzan
• Jessie Michelle Forrest, SLP-CF
• Jennifer Grace Forrester, PSY.D.
• Robert Andrew Forrester, PHD
• Darlene Abenaa Forson
• Madison Brooke Foskey, COTA/L
• Carla Foster
• Timmy Foster
• Foundation Health Physical Therapy
• Jennifer Fountain, BT

• Home Health Registered Nurse in Frisco, TX
• Providers in Frisco, TX by specialty
• Home Health Registered Nurse in Texas

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