Forrest Glon Hooper, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

95013348 Issued in CA

Practice address

8881 Fletcher Pkwy Ste 205
La Mesa, CA 91942-3187

Phone

(619) 270-4388

Fax

(619) 937-3767

NPI assigned

Oct 15, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1639777105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8881 FLETCHER PKWY STE 205",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423187",
            "telephone_number": "619-270-4388",
            "fax_number": "619-937-3767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8881 FLETCHER PKWY STE 205",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423187",
            "telephone_number": "619-270-4388",
            "fax_number": "619-937-3767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOPER",
        "first_name": "FORREST",
        "middle_name": "GLON",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-15",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "95013348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER/FURNISHING NUMBER",
            "identifier": "95013348",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor Michael Holt, CMT, MMP
• Jeffrey Holter, PA-C
• Roxanne Audrey Hon, MD INC
• Denise A Honer, M.D.
• Scott Carey Honowitz, M.D.
• Hope and Healing Child and Family Therapy, Inc.
• Amanda De Jean Horn
• David S. Hornbrook, D.D.S, FAACD, FACD
• Catherine Hornke
• Carlie Hovey

• Adult Health Nurse Practitioner in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Adult Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; 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.