Peter Michael Forlenza

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

CDPT.CO.60187485 Issued in WA

Practice address

520 Spring St
Friday Harbor, WA 98250-8057

Phone

(360) 298-1630

Fax

(360) 378-5669

NPI assigned

Oct 3, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1286064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286064000000",
    "number": "1114236528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 SPRING ST",
            "address_2": "PO BOX 247",
            "city": "FRIDAY HARBOR",
            "state": "WA",
            "postal_code": "982508057",
            "telephone_number": "360-298-1630",
            "fax_number": "360-378-5669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 SPRING ST",
            "city": "FRIDAY HARBOR",
            "state": "WA",
            "postal_code": "982508057",
            "telephone_number": "360-298-1630",
            "fax_number": "360-378-5669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORLENZA",
        "first_name": "PETER",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-03",
        "last_updated": "2010-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "WA",
            "license": "CDPT.CO.60187485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ingrid Susanne Fabianson, MSW, M.DIV.
• Quinn N Fihn, PMHNP-BC
• Jack Mark Fishaut, MD
• Kristina M Fisher, OTR/L
• Mark David Fleming, D.D.S.
• Ruth Kay Fothergill, M.D,
• Four Winds Therapy
• Freedom Enterprises PLLC (Bo Turnage DDS)
• Friday Harbor Drug, LLC
• Friday Harbor Family Clinic PLLC

• Case Manager/Care Coordinator in Friday Harbor, WA
• Providers in Friday Harbor, WA by specialty
• Case Manager/Care Coordinator in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2010; 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.