Forrest June Fogelberg, CRNFA

Primary specialty

Clinical Nurse SpecialistTaxonomy code 364S00000X

License

388276 Issued in CA

Practice address

910 Nan CT
Santa Maria, CA 93454-3151

Phone

(805) 614-4023

NPI assigned

Nov 6, 2006

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": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639248545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 NAN CT",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934543151",
            "telephone_number": "805-614-4023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 NAN CT",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934543151",
            "telephone_number": "805-614-4023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOGELBERG",
        "first_name": "FORREST",
        "middle_name": "JUNE",
        "name_prefix": "Mrs.",
        "credential": "CRNFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "CA",
            "license": "388276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaun Flores, RPH
• Alicia Flowers
• Lawrence Flowers
• Nicole Floyd, M.S., BCBA
• Karissa Fluitt
• Kenneth W Fogelberg, M.D.
• Kiera Mariko Foley
• Gabriel Kanming Foo, M.D.
• Janessa Forbes
• Cade Joab Ford

• Clinical Nurse Specialist in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• Clinical Nurse Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.