Donna Marie Forsythe, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

281020 Issued in NY

Practice address

441 S Hamilton St
Watertown, NY 13601-3837

Phone

(315) 489-7758

NPI assigned

Jan 15, 2008

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322438400000",
    "number": "1780860189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 S HAMILTON ST",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136013837",
            "telephone_number": "315-489-7758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 S HAMILTON ST",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136013837",
            "telephone_number": "315-489-7758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORSYTHE",
        "first_name": "DONNA",
        "middle_name": "MARIE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-15",
        "last_updated": "2011-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "281020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02857069",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Randi Lynn Forbes, LMSW, CASAC
• Mary Ford-Waterman
• Vanessa Ford, PT
• Amy Forgit, R.N.
• Chad William Forsythe, L.P.N.
• Shannon Marie Foy, MS, OTR/L
• Patricia Fralick, CASAC
• Brett Frandsen, CRNA
• Delaney Frears
• Fred J. Bresler O.D.P.C.

• Licensed Practical Nurse in Watertown, NY
• Providers in Watertown, 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 Nov 28, 2011; 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.