Individual provider Active NPI

Lauren Forbes

  • Pediatric Nurse Practitioner
  • Sammamish, WA
National Provider Identifier
1073181145
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
AP61167393 Issued in WA
Practice address
22620 SE 4TH Street
Suite #200
Sammamish, WA 98074
Phone
(425) 836-5407
Fax
(425) 836-5557
NPI assigned
Jun 15, 2021
Last updated
Jun 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X AP61167393 WA Primary

Addresses

Primary practice location

22620 SE 4TH Street
Suite #200
Sammamish, WA 98074

Mailing address

22620 SE 4TH Street
Suite #200
Sammamish, WA 98074

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP61167393WAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Associates, Inc., P.S. Dba Allegro Pediatrics CurrentSince Dec 13, 2022 Accepting new patients

Locations

2475 140th Ave NE
Bldg C
Bellevue, WA 98005
Phone (425) 828-2257

22620 SE 4th St
Ste 200
Sammamish, WA 98074
Phone (425) 836-5407

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1073181145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22620 SE 4TH STREET",
            "address_2": "SUITE #200",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "98074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22620 SE 4TH STREET",
            "address_2": "SUITE #200",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "98074",
            "telephone_number": "425-836-5407",
            "fax_number": "425-836-5557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORBES",
        "first_name": "LAUREN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-15",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "WA",
            "license": "AP61167393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sammamish, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.