Cynthia Forness, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

248508 Issued in NY

Practice address

243 Bayard Street Box 724
Port Ewen, NY 12466-0724

Phone

(646) 249-5767

NPI assigned

Aug 31, 2016

Last updated

Aug 31, 2016By the provider in NPPES

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

Practice roles

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.

• Tractorhealthsolutions LLC

  • Clinical Social Worker
  • Port Ewen, NY
  • NPI 1861946154
  NPD (past)

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472601600000",
    "number": "1750837688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 724",
            "city": "PORT EWEN",
            "state": "NY",
            "postal_code": "124660724",
            "telephone_number": "646-249-5767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 BAYARD STREET BOX 724",
            "city": "PORT EWEN",
            "state": "NY",
            "postal_code": "124660724",
            "telephone_number": "646-249-5767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORNESS",
        "first_name": "CYNTHIA",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-31",
        "last_updated": "2016-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "248508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vincent Michel Coq
• Dentist 4 U
• Albert L. Didonna
• Barbara Ethan, OTR/L
• Aubrey Rose Flick, PTA, PRPC, PCES
• Leah Elizabeth Gherardi, SPECIAL EDUCATION
• Lisamarie Grosso, RN
• Krystina Marie Gualtieri, RN
• Maria Alexandra Hayda, TVI
• Leigh Ellen Hill, RPH

• Licensed Practical Nurse in Port Ewen, NY
• Providers in Port Ewen, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; 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.