Individual provider Active NPI

Fikirta Forrester, NP

  • Family Nurse Practitioner
  • Riverdale Park, MD
National Provider Identifier
1982000329
Registry record updated Nov 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R165746 Issued in MD
Practice address
6130 Baltimore Ave
Riverdale Park, MD 20737
Phone
(301) 699-5004
NPI assigned
Nov 12, 2014
Sex
Female
Sole proprietor
No

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Luminis Health Community Clinics, LLC 7 clinicians
Comprehensive Primary Care and Associates LLC 167 clinicians
Luminis Health Medical Group, LLC 540 clinicians

Practice addresses (Care Compare)

1419 Forest Dr
Annapolis, MD 21403-1482
Phone (410) 990-0050

2554 Solomons Island Rd
Suite B 5
Annapolis, MD 21401-3710
Phone (410) 943-2484

4175 N Hanson Court
201 Luminis Health Breast Center of Bowie
Bowie, MD 20716-3181
Phone (443) 481-5300

4175 N Hanson CT
Bowie, MD 20716-3181

8116 Good Luck Rd
Lanham, MD 20706-3508

9398 Baltimore National Pike
Ellicott City, MD 21042-2802
Phone (410) 480-9110

Hospital & facility affiliations

  • Luminis Health Anne Arundel Medical Center, Inc Hospital, Annapolis, MD, CCN 210023

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20160108000622 MD Practitioner - Nurse Practitioner 9830491760 Reassigns benefits to 3 organizations
I20160126000495 DC Practitioner - Nurse Practitioner 9830491760 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R165746MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Luminis Health Medical Group, LLC CurrentSince Dec 8, 2021 Accepting new patients
Luminis Health Medical Group, LLC Current Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Dec 8, 2021 Accepting new patients
Luminis Health Community Clinics, LLC CurrentSince Dec 7, 2024 Accepting new patients
Luminis Health Medical Group, LLC Current Accepting new patients
Luminis Health Community Clinics, LLC CurrentSince Dec 7, 2024 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Dec 8, 2021 Accepting new patients
Luminis Health Medical Group, LLC Past Accepting new patients

Locations

1419 Forest Dr
Annapolis, MD 21403
Phone (410) 990-0050

2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366

4175 N Hanson Ct
Ste 201
Bowie, MD 20716
Phone (443) 481-1199

1630 Main St
Ste 213
Chester, MD 21619
Phone (443) 481-5300

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R165746 MD Primary

Addresses

NPPES NPI Registry

Primary practice location

6130 Baltimore Ave
Riverdale Park, MD 20737

Mailing address

30 G Ironstone CT
Annapolis, MD 21403
Phone (410) 268-6697

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 12, 2014.

{
    "created_epoch": "1415750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415750400000",
    "number": "1982000329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 G IRONSTONE CT",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "21403",
            "telephone_number": "410-268-6697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6130 BALTIMORE AVE",
            "city": "RIVERDALE PARK",
            "state": "MD",
            "postal_code": "20737",
            "telephone_number": "301-699-5004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORRESTER",
        "first_name": "FIKIRTA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-12",
        "last_updated": "2014-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R165746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverdale Park, MD

Sources for this page

Verify at the official NPI Registry.