Marlene Kay White Forrest, EMERGENCY MEDICAL TE

Primary specialty

Basic Emergency Medical TechnicianTaxonomy code 146N00000X

License

#7795 Issued in NE

Practice address

110 South Visiting Eagle
Santee Health Center
Niobrara, NE 60760

Phone

(402) 857-2300

Fax

(402) 857-2315

NPI assigned

Sep 23, 2009

Sex

Female

Sole proprietor

No

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": "1253664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253664000000",
    "number": "1811221815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 SOUTH VISITING EAGLE",
            "address_2": "SANTEE HEALTH CENTER",
            "city": "NIOBRARA",
            "state": "NE",
            "postal_code": "60760",
            "telephone_number": "402-857-2300",
            "fax_number": "402-857-2315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 SOUTH VISITING EAGLE",
            "address_2": "SANTEE HEALTH CENTER",
            "city": "NIOBRARA",
            "state": "NE",
            "postal_code": "60760",
            "telephone_number": "402-857-2300",
            "fax_number": "402-857-2315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE FORREST",
        "first_name": "MARLENE",
        "middle_name": "KAY",
        "credential": "EMERGENCY MEDICAL TE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-23",
        "last_updated": "2009-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "NE",
            "license": "#7795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Margaret Teadtke, APRN, PMHNP-BC
• Natalie R. Torrez, EMT-B
• Lanny Turner, M.D.
• Danielle Wallinga, P.A.
• Randy L Webert, NREMT-P

• Basic Emergency Medical Technician in Niobrara, NE
• Providers in Niobrara, NE by specialty
• Basic Emergency Medical Technician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2009; 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.