Charietta C Foreman

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN045435 Issued in GA

Practice address

83 Green St
Warner Robins, GA 31093-2635

Phone

(478) 988-1222

Fax

(478) 988-8098

NPI assigned

Jan 23, 2018

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

Practice roles

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.

• Middle Flint Area Community Service Board

  • Community/Behavioral Health Agency
  • Warner Robins, GA
  • NPI 1205300654
  NPD (past)
• Middle Flint Area Community Service Board

  • Community/Behavioral Health Agency
  • Warner Robins, GA
  • NPI 1447320205
  NPD (past)

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

{
    "created_epoch": "1516665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516665600000",
    "number": "1902304124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 GA HIGHWAY 96 STE A",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310882587",
            "telephone_number": "478-988-1222",
            "fax_number": "478-988-8098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 GREEN ST",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310932635",
            "telephone_number": "478-988-1222",
            "fax_number": "478-988-8098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOREMAN",
        "first_name": "CHARIETTA",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-23",
        "last_updated": "2018-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "GA",
            "license": "LPN045435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Forbes
• Carleen Mays Forbes, LMFT
• Christopher Ford
• Nadia Jekenya Ford
• Sarah Melissa Fordham
• Lise Wendy Forestal, MD
• Jerry Forsyth
• Analise Lowery Foster, CRNA
• Cynthia Foster, CNM
• Heather Ashlee Fountain, PHARMD

• All providers in Warner Robins, GA
• Licensed Practical Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2018; 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.