SALLY FORGETTE (NPI# 1275519746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275519746 |
| Entity Type | Individual |
| Full Name | SALLY FORGETTE |
| Other Name | SALLY FORGETTE-DAVIS |
| Credential | ARNP |
| Practice Address |
21616 76th Ave W #205 Edmonds WA 98026-7512 |
| Practice Telephone | 4256404810 |
| Practice Fax Number | 4256404998 |
| Mailing Telephone | 4256404810 |
| Mailing Fax Number | 4256404998 |
| Enumeration Date | 2005-12-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
AP30000673 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 9609256 | 05 |
| Street Address |
21616 76TH AVE W #205 |
| City | EDMONDS |
| State | WA |
| Zip Code | 98026-7512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336123827 | Hyun Joong Hong | Internal Medicine | 21616 76th Ave W, Ste 102, Edmonds, WA 98026-7512 | 2005-11-30 |
| 1699162875 | Ronald N. Waltz, M.d., Pllc | Family Medicine | 21616 76th Ave W, Suite 109, Edmonds, WA 98026-7512 | 2015-04-24 |
| 1366842536 | Veronique Rozon-gauthier | Audiologist | 21616 76th Ave W, Suite 112, Edmonds, WA 98026-7512 | 2014-08-25 |
| 1639500523 | Eileen Anderson | Audiologist | 21616 76th Ave W, Suite 112, Edmonds, WA 98026-7512 | 2013-12-03 |
| 1124385497 | Rose Ann Rhodes | Social Worker | 21616 76th Ave W, Suite 102, Edmonds, WA 98026-7512 | 2012-04-11 |
| 1952688103 | Dan Zhou | Massage Therapist | 21616 76th Ave W, Ste 102, Edmonds, WA 98026-7512 | 2011-11-15 |
| 1285928291 | Avena Vascular, Inc.,p.c. | Phlebology | 21616 76th Ave W, Suite 200, Edmonds, WA 98026-7512 | 2011-06-07 |
| 1912298290 | The Washington Center for Pain Management Sleep Lab | Clinical Medical Laboratory | 21616 76th Ave W, Suite 102, Edmonds, WA 98026-7512 | 2011-04-21 |
| 1497984850 | Howard John Quint | Anesthesiology | 21616 76th Ave W, Suite 209, Edmonds, WA 98026-7512 | 2009-07-07 |
| 1790942886 | Praveen Kumar Mambalam | Anesthesiology | 21616 76th Ave W, Ste 102, Edmonds, WA 98026-7512 | 2008-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833526 | Enas Hamid Albar | Student in an Organized Health Care Education/Training Program | 7500 212th Street S.w., Suite 205, Edmonds, WA 98026 | 2020-08-26 |
| 1215579453 | Kailey Anne Matulich | Technician | 21630 84th Ave W, Edmonds, WA 98026 | 2019-10-09 |
| 1154962124 | Steven M Weible | Technician | 21630 84th Ave, Edmonds, WA 98026 | 2019-10-01 |
| 1053767293 | Hyo Kyung Kim | Pharmacist | 22618 Hwy 99 Ste 109, Edmonds, WA 98026 | 2016-05-06 |
| 1679947956 | Lucilyn Lumio | Occupational Therapist | 21008 76th Avenue W, Edmonds, WA 98026 | 2015-11-24 |
| 1669844205 | Kathleen Schmitt | Pharmacist | 21601 76th Ave West, Edmonds, WA 98026 | 2015-10-22 |
| 1689087967 | Ronald Paul Meagher | Anesthesiology | 7305 173rd St Sw, Edmonds, WA 98026 | 2014-06-04 |
| 1598194342 | Allison Alberton | Surgery | 7315 212th St Sw Ste 201, Edmonds, WA 98026 | 2013-11-02 |
| 1356681019 | Tekle Zewolday Eysadik | Registered Nurse | 8102 - 226 St Sw, Edmonds, WA 98026 | 2013-02-18 |
| 1447557087 | Diane Taylor | Counselor | 20903 70th Ave W., Edmonds, WA 98026 | 2011-02-17 |
| Find all providers in zip 98026 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154307163 | Lisa A Easton-hummel | Nurse Practitioner | 555 Dayton St Ste A3, Edmonds, WA 98020-3647 | 2005-12-21 |
| 1538112719 | Gwendolyn Piercey | Nurse Practitioner | 21911 76th Ave W, #110, Edmonds, WA 98026-7903 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871190835 | Women's Mobile Medical. LLC | Nurse Practitioner | 701 E 49th St, Tacoma, WA 98404-2025 | 2020-10-02 |
| 1992323018 | Megan Louise Bedker | Nurse Practitioner | 3003 80th Ave Se, Mercer Island, WA 98040-2915 | 2020-07-07 |
| 1114557196 | Scarlett Owen Duncan | Nurse Practitioner | 27121 174th Pl Se Ste 201, Covington, WA 98042-4939 | 2020-01-18 |
| 1346889250 | Kaylee Meilahn | Nurse Practitioner | 219 State Ave. N, Suite 220, Kent, WA 98030 | 2019-12-26 |
| 1508403858 | New U Women's Clinic & Aesthetics Pllc | Nurse Practitioner | 35 S Louisiana St, Suite A120, Kennewick, WA 99336 | 2019-12-05 |
| 1174008106 | Nicole Ann Bazzetta | Nurse Practitioner | 1901 S Union Ave Ste 2006, Tacoma, WA 98405-1702 | 2018-09-25 |
| 1174000178 | Emily K Ernst | Nurse Practitioner | 4525 S 19th St, Tacoma, WA 98405-1106 | 2018-07-23 |
| 1770079493 | Erica Lauren Nunez | Nurse Practitioner | 5020 Roosevelt Way Ne Ste 1, Seattle, WA 98105-3644 | 2018-07-05 |
| 1659881001 | Kathryn Conkling | Nurse Practitioner | 10210 State Ave, Marysville, WA 98271-7214 | 2017-10-11 |
| 1033575113 | Amanda Jane Holen | Nurse Practitioner | 202 State Avenue North, Kent, WA 98031 | 2016-01-05 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.