Kathy Forson, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

2020006141 Issued in MO

Practice address

1235 E. Cherokee St.
Springfield, MO 65804

Phone

(417) 820-2000

NPI assigned

Jul 22, 2020

Last updated

Jul 22, 2020By 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 2

Addresses

Other names 1

• Kathy McCully Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595376000000",
    "number": "1790393049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 E. LINWOOD DR.",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658071851",
            "telephone_number": "417-830-6134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 E. CHEROKEE ST.",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "65804",
            "telephone_number": "417-820-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORSON",
        "first_name": "KATHY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-22",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2020006141",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "F12190784",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHY",
            "last_name": "MCCULLY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mary Elizabeth Foreman, ME, LPC
• Forensic Testing Services, LLC (Children's Medical Services)
• Forest Institute of Professional Psychology (Robert J. Murney Clinic)
• Forest Institute of Professional Psychology (Forest Institute Clinic)
• Kimberly A. Forister-Brown, LPC
• Laura Kay Forsyth, NP
• Pamela Forsyth, PSY.D.
• Robert Duane Forsyth, PH.D.
• Sheila Denise Forsyth, MS, LPC
• Brooklyn Rae Fort, NP-C

• Nurse Practitioner in Springfield, MO
• Providers in Springfield, MO by specialty
• Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; 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.