Individual provider Active NPI

Thais R Forbes, NP APRN

  • Family Nurse Practitioner
  • Odessa, FL
National Provider Identifier
1861783631
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP 9243036 Issued in FL
Practice address
14627 Trails Edge Blvd
Odessa, FL 33556-3552
Phone
(813) 245-2641
NPI assigned
Apr 27, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN9243036 FL
Family Nurse Practitioner 363LF0000X ARNP 9243036 FL Primary

Addresses

Primary practice location

14627 Trails Edge Blvd
Odessa, FL 33556-3552

Mailing address

14627 Trails Edge Blvd
Odessa, FL 33556-3552
Phone (813) 245-2641

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, ME, MA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20171007000158 FL Practitioner - Nurse Practitioner 8325313919 Reassigns benefits to 1 organization
I20210319000884 ME Practitioner - Nurse Practitioner 8325313919
I20220311001569 MA Practitioner - Nurse Practitioner 8325313919 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN9243036FLMDFamily Nurse Practitioner
ARNP 9243036FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Care Services Florida LLC CurrentSince May 1, 2024 Accepting new patients
Forbes Vip Health PLLC CurrentSince Mar 11, 2025 Accepting new patients
Lahey Clinic, Inc Current Accepting new patients
Optumcare Florida Ci, LLC Past Accepting new patients
Southern New Hampshire Internal Medicine Associates, PLLC PastSince Nov 1, 2020 Accepting new patients

Locations

17724 Hunting Bow Cir
Ste 101
Lutz, FL 33558
Phone (727) 798-5450

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1303862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1861783631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14627 TRAILS EDGE BLVD",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335563552",
            "telephone_number": "813-245-2641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14627 TRAILS EDGE BLVD",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335563552",
            "telephone_number": "813-245-2641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORBES",
        "first_name": "THAIS",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "NP APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-27",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9243036",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP 9243036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, FL

Sources for this page

Verify at the official NPI Registry.