Individual provider Active NPI

Gina A Cadena-Forney, M.D.

  • Family Medicine Physician
  • Snohomish, WA
National Provider Identifier
1598708786
Registry record updated May 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00045652 Issued in WA
Practice address
1830 Bickford Ave
Suite 211
Snohomish, WA 98290-1749
Phone
(360) 568-5900
NPI assigned
Jun 14, 2006
Last updated
May 3, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD00045652 WA Primary

Addresses

Primary practice location

1830 Bickford Ave
Suite 211
Snohomish, WA 98290-1749

Mailing address

PO Box 3360
Portland, OR 97208-3360
Phone (866) 366-2983

Other identifiers 1

IdentifierTypeStateIssuer
8447351MedicaidWA

Other names 1

  • Dr. Gina Alexandra Cadena Briceno Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gcadenaforney122054@wm.providencedirect.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, AZ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060728000176 WA Practitioner - Family Practice 2466465901 Reassigns benefits to 1 organization
I20171025002374 AZ Practitioner - Family Practice 2466465901

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

916 Pacific Ave
Everett, WA 98201-4147
Phone (425) 258-7390

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services-Wa Current Accepting new patients
Providence Health & Services-Washington CurrentSince Jan 1, 2016 Accepting new patients
Stillaguamish Tribe of Indians CurrentSince Jan 1, 2020 Accepting new patients
Providence Health & Services-Wa Past Accepting new patients

Locations

5700 172nd St NE
#A
Arlington, WA 98223
Phone (360) 652-9640

1321 Colby Ave
Ofc
Everett, WA 98201
Phone (425) 261-4076

900 Pacific Ave
Fl 5
Everett, WA 98201
Phone (425) 258-7311

900 Pacific Ave
Ste 501
Everett, WA 98201
Phone (425) 258-7550

916 Pacific Ave
Everett, WA 98201
Phone (425) 258-7123

11603 State Ave
Ste G
Marysville, WA 98271
Phone (360) 658-6800

4112 Harbour Pointe Blvd SW
Ste 100
Mukilteo, WA 98275
Phone (425) 347-6330

Interoperability endpoints

  • Direct secure messaging: gcadenaforney122054@wm.providencedirect.org

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620000000000",
    "number": "1598708786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3360",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083360",
            "telephone_number": "866-366-2983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 BICKFORD AVE",
            "address_2": "SUITE 211",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982901749",
            "telephone_number": "360-568-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CADENA-FORNEY",
        "first_name": "GINA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00045652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8447351",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gcadenaforney122054@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1830 Bickford Ave",
            "address_2": "Suite 211",
            "city": "Snohomish",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982901749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "GINA",
            "last_name": "CADENA BRICENO",
            "middle_name": "ALEXANDRA",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Snohomish, WA

Sources for this page

Verify at the official NPI Registry.