Active NPI
Jackie Forgey, LMP
- Specialist
- Federal Way, WA
National Provider Identifier
1467590638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA00007029
- Practice address
- 200 S 333Rd St
Suite 140
Federal Way, WA 98003-7359 - Phone
- (253) 661-8685
- NPI assigned
- Feb 1, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | MA00007029 | WA | Primary |
Addresses
Primary practice location
200 S 333Rd St
Suite 140
Federal Way, WA 98003-7359
Mailing address
200 S 333Rd St
Suite 140
Federal Way, WA 98003-7359
Phone (253) 661-8685
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 |
|---|---|---|---|
| MA00007029 | WA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253750400000",
"number": "1467590638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 S 333RD ST",
"address_2": "SUITE 140",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980037359",
"telephone_number": "253-661-8685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 S 333RD ST",
"address_2": "SUITE 140",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980037359",
"telephone_number": "253-661-8685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORGEY",
"first_name": "JACKIE",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-01",
"last_updated": "2009-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "MA00007029",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Federal Way, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.