Individual provider Active NPI

Petra Kathleen Knight Forbes, MSW

  • Social Worker
  • Grand Haven, MI
National Provider Identifier
1316951015
Registry record updated Feb 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801085949 Issued in MI
Practice address
923 S Beechtree St
Suite 10
Grand Haven, MI 49417-2306
Phone
(616) 638-7222
NPI assigned
Jul 28, 2006
Last updated
Feb 6, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801085949 MI Primary

Addresses

Primary practice location

923 S Beechtree St
Suite 10
Grand Haven, MI 49417-2306

Mailing address

PO Box 1177
Muskegon, MI 49443-1177
Phone (231) 728-4444

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801085949MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Patricia J. Edwards, LMSW/Acsw, P.C. Past Accepting new patients
Christine M. Platt, PH.D., PLC Past Accepting new patients
West Michigan Neurological Associates PLC PastSince Nov 1, 2007 Accepting new patients

Organizations & group practices 3

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391644800000",
    "number": "1316951015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1177",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494431177",
            "telephone_number": "231-728-4444",
            "fax_number": "231-728-4451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 S BEECHTREE ST",
            "address_2": "SUITE 10",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494172306",
            "telephone_number": "616-638-7222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIGHT FORBES",
        "first_name": "PETRA",
        "middle_name": "KATHLEEN",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2014-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801085949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Haven, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2014; 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.