Active NPI
Forenp LLC
Doing business as Forward Weight and Wellness
- Gerontology Nurse Practitioner
- Westlake, OH
National Provider Identifier
1356119895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- Legal business name
- FORENP LLC
- Doing business as
- Forward Weight and Wellness
- Practice address
- 159 Crocker Park Blvd Ste 400
Westlake, OH 44145-8147 - Phone
- (216) 815-1624
- Fax
- (216) 930-5928
- NPI assigned
- Dec 14, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Latonya Fore-Williams, NP
- Title
- Owner
- Phone
- (216) 815-1624
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | Primary |
Addresses
Primary practice location
159 Crocker Park Blvd Ste 400
Westlake, OH 44145-8147
Mailing address
159 Crocker Park Blvd Ste 400
Westlake, OH 44145-8147
Phone (216) 815-1624
Other names 1
- Forward Weight and Wellness
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gerontology Nurse Practitioner
- Westlake, OH
- NPI 1841609088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702512000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1702512000000",
"number": "1356119895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "159 CROCKER PARK BLVD STE 400",
"city": "WESTLAKE",
"state": "OH",
"postal_code": "441458147",
"telephone_number": "216-815-1624",
"fax_number": "216-930-5928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "159 CROCKER PARK BLVD STE 400",
"city": "WESTLAKE",
"state": "OH",
"postal_code": "441458147",
"telephone_number": "216-815-1624",
"fax_number": "216-930-5928"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FORENP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-14",
"last_updated": "2023-12-14",
"certification_date": "2023-12-14",
"status": "A",
"authorized_official_last_name": "FORE-WILLIAMS",
"authorized_official_first_name": "LATONYA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "216-815-1624",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Gerontology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Forward Weight and Wellness",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Westlake, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.