Mobile Mendy LLC
NPI 1770251068ActiveOrganization· Nurse Practitioner, Pediatrics· Anthem, AZ
Nurse Practitioner, Pediatrics in Anthem, Arizona, registered in NPPES in September 2021. The authorized official on file is Tara Forstie, CPNP-AC, Owner/Provider.
Overview
| NPI | 1770251068 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 1, 2021 |
| Last updated in NPPES | Sep 1, 2021 |
| Certified by provider | Jul 20, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Pediatrics Primary | 363LP0200X | — | — |
| Nurse Practitioner, Acute Care | 363LA2100X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other pediatric nurse practitioners in Anthem
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