Active NPI
Kristina M Forbes
- Home Health Aide
- Everett, WA
National Provider Identifier
1811731672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- NC60171637
- Practice address
- 2825 Colby Ave Ste 204
Everett, WA 98201-3559 - Phone
- (425) 747-7747
- Fax
- (424) 747-4951
- NPI assigned
- Jun 25, 2024
- 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 |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | NC60171637 | WA | Primary |
Addresses
Primary practice location
2825 Colby Ave Ste 204
Everett, WA 98201-3559
Mailing address
2825 Colby Ave Ste 204
Everett, WA 98201-3559
Phone (425) 747-7747
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 |
|---|---|---|---|
| NC60171637 | WA | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719273600000",
"number": "1811731672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2825 COLBY AVE STE 204",
"city": "EVERETT",
"state": "WA",
"postal_code": "982013559",
"telephone_number": "425-747-7747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2825 COLBY AVE STE 204",
"city": "EVERETT",
"state": "WA",
"postal_code": "982013559",
"telephone_number": "425-747-7747",
"fax_number": "424-747-4951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORBES",
"first_name": "KRISTINA",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-25",
"last_updated": "2024-06-25",
"certification_date": "2024-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "WA",
"license": "NC60171637",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.