Active NPI
Pamela Elaine Forecki, ARNP
- Women's Health Nurse Practitioner
- Lantana, FL
National Provider Identifier
1104869460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- ARNP1295782
- Practice address
- 1250 Southwinds Dr
Lantana, FL 33462-1459 - Phone
- (561) 547-6800
- Fax
- (561) 547-6865
- NPI assigned
- Jun 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | ARNP1295782 | FL | Primary |
Addresses
Primary practice location
1250 Southwinds Dr
Lantana, FL 33462-1459
Mailing address
3002 Black Oak CT
Boynton Beach, FL 33436-6604
Phone (562) 733-7302
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
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP1295782 | FL | MD | Women's Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104869460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3002 BLACK OAK CT",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334366604",
"telephone_number": "562-733-7302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 SOUTHWINDS DR",
"city": "LANTANA",
"state": "FL",
"postal_code": "334621459",
"telephone_number": "561-547-6800",
"fax_number": "561-547-6865"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORECKI",
"first_name": "PAMELA",
"middle_name": "ELAINE",
"name_prefix": "Ms.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "FL",
"license": "ARNP1295782",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lantana, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.