Individual provider Active NPI

Ruth M Forehand, NURSE PRACTITIONER

  • General Practice Registered Nurse
  • Virginia Beach, VA
National Provider Identifier
1891952206
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
0017137920 Issued in VA
Practice address
1821 Old Donation Pkwy
Suite 4
Virginia Beach, VA 23454-3033
Phone
(757) 481-3770
Fax
(757) 496-4905
NPI assigned
May 22, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 0017137920 VA Primary

Addresses

Primary practice location

1821 Old Donation Pkwy
Suite 4
Virginia Beach, VA 23454-3033

Mailing address

1821 Old Donation Pkwy
Suite 4
Virginia Beach, VA 23454-3033
Phone (757) 481-3770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20160315000152 VA Order and Referring Only - Nurse Practitioner 5597736066

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0017137920VAMDGeneral Practice Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211414400000",
    "number": "1891952206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 OLD DONATION PKWY",
            "address_2": "SUITE 4",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543033",
            "telephone_number": "757-481-3770",
            "fax_number": "757-496-4905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 OLD DONATION PKWY",
            "address_2": "SUITE 4",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543033",
            "telephone_number": "757-481-3770",
            "fax_number": "757-496-4905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOREHAND",
        "first_name": "RUTH",
        "middle_name": "M",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "VA",
            "license": "0017137920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.