Individual provider Active NPI

Felicia Forrest, CNM, ARNP

  • Nurse Practitioner
  • Lynnwood, WA
National Provider Identifier
1427077437
Registry record updated Oct 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP30006810 Issued in WA
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, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
9643735MedicaidWA

Other names 1

  • Felicia Williams Former name

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

LicenseStateTypeSpecialty
RN00143469WAMDRegistered Nurse
AP30006810WAMDAdvanced 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.

Verify at the official NPI Registry.