Individual Healthcare Provider
Selene R Forrestall, CRNA
Provider's NPPES record last updated: October 31, 2022
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1013078013
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Practice Location
- Florence, South Carolina
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 1:25 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Nurse Anesthetist, Certified Registered
Physician Assistants & Advanced Practice Nursing Providers
(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.
Taxonomy code 367500000X
Provider-Reported License Information
- Nurse Anesthetist, Certified Registered (South Carolina)
- 22437
- Nurse Anesthetist, Certified Registered (Massachusetts)
- 254742
Practice Locations
Practice Location
805 Pamplico Hwy
Florence, South Carolina 29505-6047
Phone: (843) 792-1414
Additional Practice Location
690 Canton St
Suite 325
Westwood, Massachusetts 02090-2321
Phone: (781) 407-7713
Fax: (781) 407-0998
Additional Practice Location
690 Canton St
Suite 325
Westwood, Massachusetts 02090-2321
Phone: (781) 407-7713
Fax: (781) 407-0998
Additional Practice Location
9263 Medical Plaza Dr Ste E
Charleston, South Carolina 29406
Phone: (843) 572-1228
Additional Practice Location
125 Doughty St
Charleston, South Carolina 29403-5736
Phone: (843) 792-1414
Additional Practice Location
701 Grove Rd
Greenville, South Carolina 29605-4210
Phone: (864) 455-3076
Fax: (864) 455-4135
Additional Practice Location
7 Independence PT Ste 300
Greenville, South Carolina 29615-4569
Phone: (864) 522-3700
Fax: (864) 522-3705
Record Information
- Enumeration Date
- December 13, 2006
- Provider's NPPES Record Last Updated
- October 31, 2022
- Certification Date
- October 31, 2022
- NPISignal NPPES Dataset
- August 2026
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