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PHEDRA L FORIST LPN
NPI 1871102640
Licensed Practical Nurse in Grand Rapids, MI

Active since July 28, 2020
3075 ORCHARD VISTA DR SE, GRAND RAPIDS, MI 49546(616) 262-2074 Get Directions Write a Review

NPPES record last updated: July 30, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Phedra L Forist Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHEDRA L FORIST LPN (NPI 1871102640) is an individual licensed practical nurse in Grand Rapids, Michigan, licensed in Michigan (4703094449) and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1871102640
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NamePHEDRA L FORISTCredential: LPN
Location Address3075 ORCHARD VISTA DR SEGrand Rapids, MI 49546-7069
Mailing Address3075 Orchard Vista Dr SeGrand Rapids, MI 49546-7069
Phone(616) 262-2074
Sole ProprietorNo
Enumeration DateJuly 28, 2020
Last NPPES UpdateJuly 30, 2020
NPPES CertifiedJuly 30, 2020
✔ NPI 1871102640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in MI · 4703094449
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Also ListedLicensed Vocational NurseTaxonomy 164X00000X · License 4703094449 (MI)
3075 ORCHARD VISTA DR SE, Grand Rapids, MI 49546
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MORGAN ASHLEY ANN GUSTMAN
Technician (Personal Care Attendant)
3075 ORCHARD VISTA DR SE
GRAND RAPIDS, MI 49546
Kent County (616) 301-8000
NICHOLAS MICHAEL WELCH
Technician (Personal Care Attendant)
3075 ORCHARD VISTA DR SE
GRAND RAPIDS, MI 49546
Kent County (616) 726-1939
MICHELLE KIEU JOSLYN
Technician
3075 ORCHARD VISTA DR SE
GRAND RAPIDS, MI 49546
Kent County (269) 317-3309
KARLIYAH MURRAY
Technician (Attendant Care Provider)
3075 ORCHARD VISTA DR SE
GRAND RAPIDS, MI 49546
Kent County (616) 301-8000
PEOPLECARE INC.
Home Health
3075 ORCHARD VISTA DR SE
GRAND RAPIDS, MI 49546
Kent County (616) 975-6200
WENDY SCOTT
Behavior Analyst
3075 ORCHARD VISTA DR SE
GRAND RAPIDS, MI 49546
Kent County (616) 726-1917
CHERYL DIANE BAZAN PT, DPT, CKTP
Physical Therapist
3075 ORCHARD VISTA DR SE
GRAND RAPIDS, MI 49546
Kent County (616) 301-8000
HOPE NETWORK CORPORATE
Residential Treatment Facility, Physical Disabilities
3075 ORCHARD VISTA DR SE
GRAND RAPIDS, MI 49546
Kent County (616) 248-5291

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phedra Forist's NPI number?

The NPI number for Phedra Forist is 1871102640. It was assigned to this individual provider in the NPPES registry on July 28, 2020.

Where is Phedra Forist located?

Phedra Forist practices at 3075 Orchard Vista Dr SE, Grand Rapids, MI 49546. The listed phone number is (616) 262-2074.

What is Phedra Forist's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Phedra Forist was last updated on July 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.