Active NPI
Lyndi Sullens Forrest, APRN-BC MSN
- Family Nurse Practitioner
- Shelby, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 005001017
- Practice address
- 520 N Dekalb St
Suite B
Shelby, NC 28150-4188 - Phone
- (704) 484-8001
- Fax
- (704) 484-2485
- NPI assigned
- Sep 12, 2006
- Last updated
- Nov 30, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 005001017 | NC | Primary |
Addresses
Primary practice location
520 N Dekalb St
Suite B
Shelby, NC 28150-4188
Mailing address
520 N Dekalb St
Suite B
Shelby, NC 28150-4188
Phone (704) 484-8001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2525 Court Dr
Gastonia, NC 28054-2140
Phone (704) 834-2450
520 N Dekalb St
Shelby, NC 28150-4188
660 Summit Crossing PL
Suite 301
Gastonia, NC 28054-2181
Phone (704) 854-8799
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005001017 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caromont Medical Group Inc | Current | Accepting new patients | |
| Caromont Medical Group Inc | Current | Accepting new patients | |
| Caromont Medical Group Inc | Current | Accepting new patients | |
| Boiling Springs Medical Associates, PA | Past | Accepting new patients |
Locations
2525 Court Dr
Gastonia, NC 28054
Phone (704) 834-2662
660 Summit Crossing Pl
Ste 301
Gastonia, NC 28054
Phone (704) 854-8799
520 N DeKalb St
Shelby, NC 28150
Phone (704) 480-0222
520 N DeKalb St
Ste B
Shelby, NC 28150
Phone (704) 484-8001
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Gastonia, NC
- NPI 1356314272
-
dba Boiling Springs Medical Associates
- Family Medicine Physician
- Boiling Springs, NC
- NPI 1205079290
-
- Family Medicine Physician
- Stanley, NC
- NPI 1972301380
-
- Primary Care Clinic/Center
- Boiling Springs, NC
- NPI 1275592677
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Atrium Health Cleveland
- General Acute Care Hospital
- Shelby, NC
- NPI 1669348991
-
dba Atrium Health At Home Cleveland
- Home Health Agency
- Shelby, NC
- NPI 1144222365
-
dba CaroMont Regional Medical Center
- General Acute Care Hospital
- Gastonia, NC
- NPI 1013918960
-
dba CenterWell Home Health
- Home Health Agency
- Shelby, NC
- NPI 1649203431
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322611200000",
"number": "1801990593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 N DEKALB ST",
"address_2": "SUITE B",
"city": "SHELBY",
"state": "NC",
"postal_code": "281504188",
"telephone_number": "704-484-8001",
"fax_number": "704-484-2485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 N DEKALB ST",
"address_2": "SUITE B",
"city": "SHELBY",
"state": "NC",
"postal_code": "281504188",
"telephone_number": "704-484-8001",
"fax_number": "704-484-2485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORREST",
"first_name": "LYNDI",
"middle_name": "SULLENS",
"name_prefix": "Mrs.",
"credential": "APRN-BC MSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-12",
"last_updated": "2011-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "005001017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shelby, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.