Individual provider Active NPI

Laura Cecile Forest, PA-C

  • Physician Assistant
  • Denver, CO
National Provider Identifier
1922321355
Registry record updated Mar 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
603 Issued in CO
Practice address
4900 E Kentucky Ave
Denver, CO 80246-2365
Phone
(303) 756-0101
Fax
(303) 756-1408
NPI assigned
Mar 12, 2010
Last updated
Mar 12, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 603 CO Primary

Addresses

Primary practice location

4900 E Kentucky Ave
Denver, CO 80246-2365

Mailing address

4900 E Kentucky Ave
Denver, CO 80246-2365
Phone (303) 756-0101

Other names 1

  • Laura Cecile Stockdill Former name

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

LicenseStateTypeSpecialty
603COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cherry Creek Pediatrics, PC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1268352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268352000000",
    "number": "1922321355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 E KENTUCKY AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802462365",
            "telephone_number": "303-756-0101",
            "fax_number": "303-756-1408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 E KENTUCKY AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802462365",
            "telephone_number": "303-756-0101",
            "fax_number": "303-756-1408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOREST",
        "first_name": "LAURA",
        "middle_name": "CECILE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-12",
        "last_updated": "2010-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "STOCKDILL",
            "middle_name": "CECILE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2010; 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.