Sandra J Forsythe

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

578400 Issued in WA

Practice address

34911 78TH Ave E
Eatonville, WA 98328

Phone

(253) 846-5141

Fax

(253) 846-5817

NPI assigned

Mar 25, 2008

Last updated

Mar 25, 2008By 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

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206403200000",
    "number": "1760654230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34911 78TH AVE E",
            "city": "EATONVILLE",
            "state": "WA",
            "postal_code": "98328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34911 78TH AVE E",
            "city": "EATONVILLE",
            "state": "WA",
            "postal_code": "98328",
            "telephone_number": "253-846-5141",
            "fax_number": "253-846-5817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORSYTHE",
        "first_name": "SANDRA",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-25",
        "last_updated": "2008-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "WA",
            "license": "578400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cross Chiropractic PS
• Diane Marie Crum, DNP
• Eatonville Integrative Medicine P.S. (Eatonville Integrative Medicine)
• Eatonville School District
• Elk Hills Massage & Bodywork
• Hayley Gardner
• Debra Frazier Grant, ARNP
• Anita Ann Gray-Saito, MA
• Tisha D Guier, RN BSN
• Katreena M Hallberg, LMP

• Adult Care Home Facility in Eatonville, WA
• Providers in Eatonville, WA by specialty
• Adult Care Home Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; 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.