Pamela Ann Forquera, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

LL60107681 Issued in WA

Practice address

710 NW Juniper St
Suite 110
Issaquah, WA 98027-2717

Phone

(425) 392-2631

NPI assigned

Aug 24, 2009

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Arts

State licenses

Practice roles

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

• Pediatric Speech & Lang Assocs

  • Speech-Language Pathologist
  • Issaquah, WA
  • NPI 1437142874
  NPD (past)

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

{
    "created_epoch": "1251072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251072000000",
    "number": "1356574479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6011 189TH AVE SE",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980278647",
            "telephone_number": "425-562-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 NW JUNIPER ST",
            "address_2": "SUITE 110",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980272717",
            "telephone_number": "425-392-2631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORQUERA",
        "first_name": "PAMELA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-24",
        "last_updated": "2009-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL60107681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marykathrine Focht, LMP
• Sally Bridges Fogarty, M.S., CCC-SLP
• Foot and Ankle Center of Issaquah LLC
• William Lawrence Foreman III
• Edite A Forman
• Artisanne W Foss, LAC, LMP
• Jane Foss
• Fourth Dimension Counseling, Inc.
• Anastasia Fox, LMFTA
• Brittany Anne Fradet

• Speech-Language Pathologist in Issaquah, WA
• Providers in Issaquah, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2009; 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.