DEBRA ANN FORTE (NPI# 1154387504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154387504 |
| Entity Type | Individual |
| Full Name | DEBRA ANN FORTE |
| Credential | CRNA |
| Practice Address |
4800 Belfort Road Jacksonville FL 32256 |
| Practice Telephone | 9044835850 |
| Practice Fax Number | 9044835860 |
| Mailing Telephone | 9044835850 |
| Mailing Fax Number | 9044835860 |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2011-05-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | ARNP3195362 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 306763700 | 05 | |
| FL | BLUE CROSS BLUE SHIELD | G3700 | 01 |
| Street Address |
4800 BELFORT ROAD |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730174814 | Russell Scott Avera | Nurse Anesthetist, Certified Registered | 4800 Belfort Road, Jacksonville, FL 32256 | 2005-09-15 |
| 1902965684 | Linda Ann Diteodoro | Internal Medicine | 4800 Belfort Road, 2nd Floor, Jacksonville, FL 32256 | 2006-12-08 |
| 1295894384 | Eric James Seybolt | Registered Nurse | 4800 Belfort Road, Jacksonville, FL 32256 | 2006-12-06 |
| 1649233172 | Daniel Gerard Kohm | Internal Medicine | 4800 Belfort Road, Jacksonville, FL 32256-6004 | 2006-04-07 |
| 1720041247 | Vikram Devegowda Gopal | Internal Medicine | 4800 Belfort Road, 2nd Floor, Jacksonville, FL 32256 | 2006-04-07 |
| 1619945706 | Michele Denise Alford | Nurse Anesthetist, Certified Registered | 4800 Belfort Road, Jacksonville, FL 32256 | 2006-03-14 |
| 1386630846 | Donna Dorman Smith | Nurse Anesthetist, Certified Registered | 4800 Belfort Road, Jacksonville, FL 32256 | 2005-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841890464 | Alice Sanchez | Dietitian, Registered | 7643 Gate Parkway, Suite 104-1128, Jacksonville, FL 32256 | 2020-11-01 |
| 1093327702 | Oaktree Dental LLC | Clinic/Center | 14595 Philips Highway, Jacksonville, FL 32256 | 2020-08-24 |
| 1538787866 | Tywanna Council | Massage Therapist | 4720 Salisbury Road #102, Jacksonville, FL 32256 | 2020-07-13 |
| 1275155368 | Christy Orellana | Social Worker | 5011 Gate Parkway Bldg 100 Suite 100, Jacksonville, FL 32256 | 2020-05-11 |
| 1376175117 | Diane Stover | Case Manager/Care Coordinator | 7001 A. C. Skinner Parkway, Jacksonville, FL 32256 | 2020-02-10 |
| 1982235859 | Sandra Josefina Baez Nunez | Nurse Practitioner | 10739 Deerwood Park Blvd, Suite 200, Jacksonville, FL 32256 | 2020-01-30 |
| 1205476496 | Point Meadows Dental Center, Inc. | Dentist | 10915 Baymeadows Rd, #106, Jacksonville, FL 32256 | 2020-01-15 |
| 1598324113 | Dhaval Yogeshkumar Shah | Dentist | 8206 Philips Hwy., Suite 21, Jacksonville, FL 32256 | 2019-06-07 |
| 1003472499 | Dade Medical, Inc. | Durable Medical Equipment & Medical Supplies | 9143 Philips Highway Suite 270, Jacksonville, FL 32256 | 2019-05-13 |
| 1003479726 | Nichole Bashara | Behavior Technician | 8383 Baymeadows Rd, Jacksonville, FL 32256 | 2019-04-18 |
| Find all providers in zip 32256 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992275572 | William Lundgren | Nurse Anesthetist, Certified Registered | 3625 University Blvd South, Jacksonville, FL 32258 | 2018-11-27 |
| 1215436423 | Jenitre Shavonne Moore | Nurse Anesthetist, Certified Registered | 5885 Edenfield Rd Apt L32, Jacksonville, FL 32277-1203 | 2018-02-03 |
| 1811402407 | Aubrey Crowe | Nurse Anesthetist, Certified Registered | 1415 Windsor Pl, Jacksonville, FL 32205-7910 | 2017-12-05 |
| 1497294516 | Megan Powell | Nurse Anesthetist, Certified Registered | 13003 Springs Manor Dr, Jacksonville, FL 32258-8437 | 2017-02-22 |
| 1679017123 | Catherine Scanlon | Nurse Anesthetist, Certified Registered | 4635 Charles Bennett Dr, Jacksonville, FL 32225-1301 | 2016-12-16 |
| 1720444623 | Katrina Canady | Nurse Anesthetist, Certified Registered | 13609 Devan Lee Dr E, Jacksonville, FL 32226-5810 | 2016-01-07 |
| 1104291822 | Jenny Kambel | Nurse Anesthetist, Certified Registered | 13856 Herons Landing Way, Apt 5, Jacksonville, FL 32224-6065 | 2015-12-07 |
| 1609240746 | Matthew James Dailey | Nurse Anesthetist, Certified Registered | 2500 San Pablo Rd S, Jacksonville, FL 32224 | 2015-11-29 |
| 1437540234 | Catherine Simms | Nurse Anesthetist, Certified Registered | 400 Health Park Boulevard St., Jacksonville, FL 32086 | 2015-02-16 |
| 1699164889 | Valerie Wolff Aquino | Nurse Anesthetist, Certified Registered | 8638 Stanmoor Ct, Jacksonville, FL 32244-7160 | 2015-01-12 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32256 |
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| 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.