MRS. MARY LOU CAMERON FORNEHED (NPI# 1083647275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083647275 |
| Entity Type | Individual |
| Full Name | MRS. MARY LOU CAMERON FORNEHED |
| Credential | ACNP, BC |
| Practice Address |
145 W 4th St Ste 201 Cookeville TN 38501 |
| Mailing Address |
127 N Oak Ave Suite D Cookeville TN 38501-2435 |
| Practice Telephone | 9317832143 |
| Practice Fax Number | 9317832152 |
| Mailing Telephone | 9317835857 |
| Mailing Fax Number | 9315266760 |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2018-08-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
6081 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BLUE CROSS PIN | 4026322 | 01 |
| TN | BCBS | 4346448 | 01 |
| TN | 1530878 | 05 | |
| KY | 78013588 | 05 |
| Street Address |
145 W 4TH ST STE 201 |
| City | COOKEVILLE |
| State | TN |
| Zip Code | 38501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801899224 | David James Henson | Internal Medicine | 145 W 4th St Ste 201, Cookeville, TN 38501-2476 | 2005-05-31 |
| 1134677727 | Shauna Darlene Mack | Registered Nurse | 145 W 4th St Ste 201, Cookeville, TN 38501-2476 | 2016-09-13 |
| 1396186466 | Kaushal Kantibhai Patel | Internal Medicine | 145 W 4th St Ste 201, Cookeville, TN 38501-2476 | 2013-07-17 |
| 1053667980 | Hafiza Sobia Arshad | Internal Medicine | 145 W 4th St Ste 201, Cookeville, TN 38501-2476 | 2012-07-29 |
| 1982800603 | Hima B Kona | Internal Medicine | 145 W 4th St Ste 201, Cookeville, TN 38501 | 2007-06-21 |
| 1902839806 | Bernadette L Hee | Internal Medicine | 145 W 4th St Ste 201, Cookeville, TN 38501 | 2006-07-07 |
| 1609855063 | Luis R Urbina | Specialist | 145 W 4th St Ste 201, Cookeville, TN 38501-2476 | 2006-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596711 | Results-ast Jv, LLC | Physical Therapist | 627 James Campbell Blvd, South, Suite B, Columbia, TN 38501 | 2020-10-21 |
| 1376167080 | Melinda Jane Jetter | Registered Nurse | 320 North Willow Avenue, Cookeville, TN 38501 | 2020-05-29 |
| 1366950875 | Tara Beth Smith | Occupational Therapist | 315 N Washington Ave Ste 240, Cookeville, TN 38501 | 2018-01-18 |
| 1669990339 | Tonya Rachelle Perry | Counselor | 13 South Jefferson Ave, Cookeville, TN 38501 | 2017-09-01 |
| 1659896207 | Dustin Chase Rich | Physical Therapist | 105 S. Willow Ave, #100, Cookeville, TN 38501 | 2017-08-04 |
| 1487009668 | Holly Young | Physical Therapist | 315 North Washungton Ave., Suite 240, Cookeville, TN 38501 | 2016-04-26 |
| 1194190306 | Johnna Sprague | Nurse Practitioner | 620 S. Jefferson Ave, Suite 202, Cookeville, TN 38501 | 2015-12-14 |
| 1881099885 | Carlos Alberto Podesta | Internal Medicine | 238 W 4th St Ste 200, Cookeville, TN 38501 | 2014-11-03 |
| 1124445002 | Shashank Sarvepalli | Internal Medicine | 1 Medical Center Blvd Ste D, Cookeville, TN 38501 | 2014-03-27 |
| 1689095762 | Kendra Hicks | Licensed Practical Nurse | 701 County Services Drive, Cookeville, TN 38501 | 2013-12-17 |
| Find all providers in zip 38501 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376715136 | Rachel L Forsythe | Nurse Practitioner | 545 E Spring St, Cookeville, TN 38501-3594 | 2008-04-01 |
| 1932747714 | Larry Darnell Calender | Nurse Practitioner | 1 Medical Center Blvd, Cookeville, TN 38501-4294 | 2019-12-12 |
| 1346882719 | Sharon Marie Rodgers | Nurse Practitioner | 1 Medical Center Blvd, Cookeville, TN 38501-4294 | 2019-10-17 |
| 1073059317 | John M Dickson | Nurse Practitioner | 1 Medical Center Blvd, Cookeville, TN 38501-4294 | 2017-01-10 |
| 1083086433 | Kimberly Rae Horner | Nurse Practitioner | 1 Medical Center Blvd, Cookeville, TN 38501-4294 | 2015-10-26 |
| 1871979856 | Marianna Boyles Ballard | Nurse Practitioner | 1 Medical Center Blvd, Cookeville, TN 38501-4294 | 2015-08-03 |
| 1922407378 | Robyn Elizabeth Maxwell | Nurse Practitioner | 1 Medical Center Blvd, Suite 103, Cookeville, TN 38501-4294 | 2014-08-21 |
| 1548506827 | Wayne Russell Babcock II | Nurse Practitioner | 1 Medical Center Blvd, Cookeville, TN 38501-4294 | 2012-12-14 |
| 1346524279 | Gail Jean Cook | Nurse Practitioner | 1 Medical Center Blvd, Cookeville, TN 38501 | 2011-10-11 |
| 1306154729 | Sun-forsythe, Pllc | Nurse Practitioner | 545 E Spring St, Cookeville, TN 38501-3594 | 2010-09-20 |
| Find all providers in COOKEVILLE | ||||
| City | COOKEVILLE |
| Zip Code | 38501 |
Please comment or provide details below to improve the information on MRS. MARY LOU CAMERON FORNEHED.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.