Stephanie Andrea Forgey, L.M.T.

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

MT-09482 Issued in AZ

Practice address

10506 W la Reata Ave
Avondale, AZ 85392-4659

Phone

(602) 619-4140

NPI assigned

Jul 16, 2012

Last updated

Jul 16, 2012By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1342396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342396800000",
    "number": "1548515562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10506 W LA REATA AVE",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853924659",
            "telephone_number": "602-619-4140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10506 W LA REATA AVE",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853924659",
            "telephone_number": "602-619-4140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORGEY",
        "first_name": "STEPHANIE",
        "middle_name": "ANDREA",
        "name_prefix": "Mrs.",
        "credential": "L.M.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-16",
        "last_updated": "2012-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "AZ",
            "license": "MT-09482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda Flores
• Dawn Marie Flores, MS, CCC-SLP
• Patricia M Flynn, DC DABCO
• Ed Foltz, PHARMD
• Fedelis Fondungallah
• Rebecca Walters Franklin, RN
• Sasha Franklin
• Christina Noel Frawley
• Erika Frederick, LAC
• Gabrielle Lee Freeman

• Community Health Worker in Avondale, AZ
• Providers in Avondale, AZ by specialty
• Community Health Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.

Verify at the official NPI Registry.