Active NPI
Felicia Forrest, CNM, ARNP
- Nurse Practitioner
- Lynnwood, WA
National Provider Identifier
1427077437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP30006810
- Practice address
- 19505 76TH Ave W
Suite 200
Lynnwood, WA 98036-5011 - Phone
- (425) 771-7450
- Fax
- (425) 778-3866
- NPI assigned
- Jul 19, 2006
- Last updated
- Oct 11, 2011
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP30006810 | WA | Primary |
| Advanced Practice Midwife | 367A00000X | AP30006810 | WA | |
| Registered Nurse | 163W00000X | RN00143469 | WA |
Addresses
Primary practice location
19505 76TH Ave W
Suite 200
Lynnwood, WA 98036-5011
Mailing address
19716 11TH Ave NW
Shoreline, WA 98177-2617
Phone (206) 533-2314
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9643735 | Medicaid | WA |
Other names 1
- Felicia Williams
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
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN00143469 | WA | MD | Registered Nurse |
| AP30006810 | WA | MD | Advanced Practice Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318291200000",
"number": "1427077437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19716 11TH AVE NW",
"city": "SHORELINE",
"state": "WA",
"postal_code": "981772617",
"telephone_number": "206-533-2314",
"fax_number": "425-778-3866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19505 76TH AVE W",
"address_2": "SUITE 200",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980365011",
"telephone_number": "425-771-7450",
"fax_number": "425-778-3866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORREST",
"first_name": "FELICIA",
"credential": "CNM, ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-19",
"last_updated": "2011-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP30006810",
"primary": true
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "WA",
"license": "AP30006810",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN00143469",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9643735",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "FELICIA",
"last_name": "WILLIAMS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lynnwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.