LINDSEY MARLOWE FORTENBERRY (NPI# 1740573047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740573047 |
| Entity Type | Individual |
| Full Name | LINDSEY MARLOWE FORTENBERRY |
| Credential | NP |
| Practice Address |
725 Smokehouse Loop Benton LA 71006-8000 |
| Practice Telephone | 3184582583 |
| Enumeration Date | 2011-05-18 |
| Last Update Date | 2020-09-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
121136 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP06299 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
AP06299 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
AP121136 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
AP06299 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
725 SMOKEHOUSE LOOP |
| City | BENTON |
| State | LA |
| Zip Code | 71006-8000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205450517 | Just Health | Clinic/Center | 7076 La-3, Benton, LA 71006 | 2020-06-02 |
| 1982819678 | Robert Carroll Denmon | Pharmacist | 5604 Hwy 3, Freds Pharmacy # 1534, Benton, LA 71006 | 2007-05-14 |
| 1326174202 | David W Loftin | Pharmacist | 5604 Benton Rd, Benton, LA 71006 | 2007-02-26 |
| 1720163587 | Wayne Holden Marionneaux | Dentist | 192 Burt Blvd, Bentone, LA 71006 | 2006-10-27 |
| 1558478925 | Freds Stores of Tennessee Inc | Pharmacy | 5604 Hwy 3, Benton, LA 71006 | 2006-08-23 |
| 1861404683 | Rolling Rehab LLC | Physical Therapist | 115 Hunt Rd, Benton, LA 71006-3469 | 2006-08-12 |
| 1932327608 | Shanna D. Johnson | Physical Therapist | 115 Hunt Rd, Benton, LA 71006-3469 | 2007-04-20 |
| 1194134452 | Margaret B Rutledge | Social Worker | 2018 Pine Ridge Way, Benton, LA 71006-3488 | 2014-08-11 |
| 1942373410 | Brookshire Grocery Company | Pharmacy | 6280 Highway 3, Attention Pharmacy Dept, Benton, LA 71006-3492 | 2006-11-15 |
| 1669854253 | Dao B Kha | Pharmacist | 6280 Highway 3, Benton, LA 71006-3492 | 2015-06-19 |
| Find all providers in zip 71006 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710525720 | Melanie Mabry | Nurse Practitioner | 11510 State Highway 298, Benton, AR 72019 | 2019-12-20 |
| 1538625900 | Morgan Dyanne Colson | Nurse Practitioner | 1576 Brookshire Dr, Benton, AR 72019-9547 | 2019-02-11 |
| 1639648041 | Laurie Jeannette Kerschner | Nurse Practitioner | 166 Wellivers Hill Rd, Benton, PA 17814-8131 | 2018-11-14 |
| 1790253326 | Seth Alexander Weisheit | Nurse Practitioner | 824 Military Road, Benton, AR 72015 | 2018-11-13 |
| 1982171484 | Reanna Christine Hargrove | Nurse Practitioner | 2314 Olive Creek Rd, Benton, KY 42025-4208 | 2018-11-01 |
| 1710474093 | Carmacare Inc | Nurse Practitioner | 2408 Military Rd, Benton, AR 72015-2743 | 2018-04-23 |
| 1366950693 | Blake Borders | Nurse Practitioner | 222 Bland St, Benton, MO 63736-9206 | 2018-01-22 |
| 1063920452 | Pamela Ann Bates | Nurse Practitioner | 824 Military Rd, Benton, AR 72015-3347 | 2018-01-19 |
| 1023525490 | Kortney Kai Spann | Nurse Practitioner | 4110 Darla Dr, Benton, AR 72015-6299 | 2018-01-05 |
| 1548791510 | Monica Suzanne Williams | Nurse Practitioner | 10676 Hinds Rd, Benton, AR 72019-9442 | 2017-03-22 |
| Find all providers in BENTON | ||||
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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.