Jequeena Denese Foreman, CNA

Primary specialty

Adult CompanionTaxonomy code 372600000X

License

376K00000X Issued in CT

Practice address

17 Vernon St # 200
New Haven, CT 06519-1342

Phone

(203) 901-8670

Fax

(203) 891-7854

NPI assigned

Mar 4, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 8

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1393891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393891200000",
    "number": "1992120679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 VERNON ST. #200",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "06519",
            "telephone_number": "203-901-8670",
            "fax_number": "203-891-7854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 VERNON ST # 200",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065191342",
            "telephone_number": "203-901-8670",
            "fax_number": "203-891-7854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOREMAN",
        "first_name": "JEQUEENA",
        "middle_name": "DENESE",
        "name_prefix": "Ms.",
        "credential": "CNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-04",
        "last_updated": "2014-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": "CT",
            "license": "372500000X",
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "CT",
            "license": "376K00000X",
            "primary": true
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "CT",
            "license": "372600000X",
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "CT",
            "license": "3747A0650X",
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "CT",
            "license": "3747P1801X",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "CT",
            "license": "374U00000X",
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "CT",
            "license": "376J00000X",
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "CT",
            "license": "376K00000X",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Forbes Psychotherapy Practice, LLC
• Rachel Forbes, LCSW
• Nicholas Forcello, PHARMD
• Lisa R Ford, PA-C
• Deanna Forella, PHARMD
• Brittany Leigh Foret
• Deborah A Forgette, LMSW
• Dana Forlano, APRN
• Howard P Forman, MD
• Rachel Forman, M.D.

• Adult Companion in New Haven, CT
• Providers in New Haven, CT by specialty
• Adult Companion in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2014; 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.