Individual provider Active NPI

Kareen Forrester, FNP

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1861865263
Registry record updated Jan 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
347026 Issued in NY
Practice address
60 E 66TH St
New York, NY 10065-6540
Phone
(347) 276-1174
NPI assigned
Nov 6, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 684444 NY
Family Nurse Practitioner 363LF0000X 347026 NY Primary

Addresses

Primary practice location

60 E 66TH St
New York, NY 10065-6540

Mailing address

1655 Flatbush Ave Apt B1003
Brooklyn, NY 11210-3268
Phone (347) 276-1174

Other identifiers 1

IdentifierTypeStateIssuer
347026OtherNYNYS NP LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Hazel@Hazelthebeautyrn.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
684444NYMDRegistered Nurse
347026NYMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: hazel@hazelthebeautyrn.com

NPI Registry JSON

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

{
    "created_epoch": "1446768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1861865263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1655 FLATBUSH AVE APT B1003",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112103268",
            "telephone_number": "347-276-1174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 E 66TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656540",
            "telephone_number": "347-276-1174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORRESTER",
        "first_name": "KAREEN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-06",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "684444",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "347026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS NP LICENSE",
            "identifier": "347026",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Hazel@Hazelthebeautyrn.com",
            "affiliation": "N",
            "endpointDescription": "main office email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "60 E 66th St",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100656540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; 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.