Active NPI
Forrest William Pender, SLP
- Speech-Language Pathologist
- Laurel, DE
National Provider Identifier
1457601874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- O1-0001269
- Practice address
- 1160 S Central Ave
Laurel, DE 19956-1418 - Phone
- (302) 875-6100
- NPI assigned
- Sep 13, 2012
- Last updated
- Sep 13, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | O1-0001269 | DE | Primary |
Addresses
Primary practice location
1160 S Central Ave
Laurel, DE 19956-1418
Mailing address
1160 S Central Ave
Laurel, DE 19956-1418
Phone (302) 875-6100
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| O1-0001269 | DE | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Delaware | Past | Accepting new patients |
Organizations & group practices 1
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": "1347494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347494400000",
"number": "1457601874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1160 S CENTRAL AVE",
"city": "LAUREL",
"state": "DE",
"postal_code": "199561418",
"telephone_number": "302-875-6100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1160 S CENTRAL AVE",
"city": "LAUREL",
"state": "DE",
"postal_code": "199561418",
"telephone_number": "302-875-6100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENDER",
"first_name": "FORREST",
"middle_name": "WILLIAM",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-09-13",
"last_updated": "2012-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "DE",
"license": "O1-0001269",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laurel, DE
- Metodio Amahit Pamplona Jr., P.T.
- Jara Parks, BSN RN
- Bhavesh Rameshbhai Patel
- Pathways to Renewal, LLC
- Antonio Pedro, M.D.
- Peninsula Home Care at Nanticoke LLC
- Peninsula Regional Medical Center
- Patricia Petrecca, PT
- Phoenix Rehabilitation and Health Services of Delaware Inc
- Deborah Pontorno, SPEECH PATHOLOGIST
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.