NPI Code Detail JSON Logo

1437293909 NPI number — CELIA G FORNO PMHNP

NPI Number: 1437293909
Health Care Provider/Practitioner: CELIA G FORNO PMHNP

Information about “1437293909” NPI (CELIA G FORNO PMHNP) exists in 1437293909 in HTML format HTML  |  1437293909 in plain Text format TXT  |  1437293909 in PDF (Portable Document Format) PDF  |  1437293909 in an XML format XML  formats.

NPI Number : 1437293909 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1437293909",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "FORNO",
    "FirstName": "CELIA",
    "MiddleName": "G",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "PMHNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "FORNO",
    "OtherFirstName": "CELIA",
    "OtherMiddleName": "GRACE",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "NURSE PRACTITIONER",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "711 STATE AVE NE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "OLYMPIA",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "98506-3984",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "360-943-0780",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "711 STATE AVE NE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "OLYMPIA",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "98506-3984",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "360-943-0780",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/17/2007",
    "LastUpdateDate": "07/02/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "363L00000X",
          "TaxonomyName": "Nurse Practitioner",
          "LicenseNumber": "APRN9398276",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LP0808X",
          "TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
          "LicenseNumber": "200950152NP",
          "LicenseNumberStateCode": "OR",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LP0808X",
          "TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
          "LicenseNumber": "AP2339",
          "LicenseNumberStateCode": "AZ",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LP0808X",
          "TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
          "LicenseNumber": "AP60164040",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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