Active NPI
Emily Forthofer
- Pediatric Nurse Practitioner
- Mansfield, OH
National Provider Identifier
1861322646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- APRN.CNP.0042568
- Practice address
- 540 S Trimble Rd
Mansfield, OH 44906-3418 - Phone
- (419) 522-5454
- NPI assigned
- May 21, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | APRN.CNP.0042568 | OH | Primary |
Addresses
Primary practice location
540 S Trimble Rd
Mansfield, OH 44906-3418
Mailing address
700 Childrens Dr
Columbus, OH 43205-2664
Other practice location 1
110 W Smiley Ave
Shelby, OH 44875-2130
Phone (419) 342-2812
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0194346 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.451069 | OH | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Community Practices, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Mansfield, OH
- NPI 1386031896
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787702400000",
"number": "1861322646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 CHILDRENS DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432052664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 S TRIMBLE RD",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "449063418",
"telephone_number": "419-522-5454"
}
],
"practiceLocations": [
{
"address_1": "110 W Smiley Ave",
"address_purpose": "LOCATION",
"city": "Shelby",
"state": "OH",
"postal_code": "448752130",
"country_code": "US",
"telephone_number": "419-342-2812",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FORTHOFER",
"first_name": "EMILY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-05-21",
"last_updated": "2026-08-26",
"certification_date": "2026-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "OH",
"license": "APRN.CNP.0042568",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0194346",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mansfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.