Jenna Forester, RN BSN IBCLC

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

0001218672 Issued in VA

Practice address

15736 Vista Dr
Montclair, VA 22025-1812

Phone

(540) 320-0118

NPI assigned

Jun 3, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1464912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464912000000",
    "number": "1962850677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15736 VISTA DR",
            "city": "MONTCLAIR",
            "state": "VA",
            "postal_code": "220251812",
            "telephone_number": "540-320-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15736 VISTA DR",
            "city": "MONTCLAIR",
            "state": "VA",
            "postal_code": "220251812",
            "telephone_number": "540-320-0118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORESTER",
        "first_name": "JENNA",
        "credential": "RN BSN IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-03",
        "last_updated": "2016-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001218672",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "L-46303",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iren Rose Athan
• Stephen Joshua Horac Magalona Dignos, DPT
• Emd Group Home, LLC
• Camille Fabis, PT, DPT
• Diane R Fenlason, FNP
• Grace & Mercy Transportation and Adult Day Services
• Marcia E Griffo, RN IBCLC
• Claire Ann Hoagland, L.C.S.W.
• Gregg Louis Kassan, D.D.S.
• Erika Jane Kramer, M.S. CCC-SLP

• Registered Nurse in Montclair, VA
• Providers in Montclair, VA by specialty
• Registered Nurse in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2016; 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.