KECIA FOWLER (NPI# 1043680002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043680002 |
| Entity Type | Individual |
| Full Name | KECIA FOWLER |
| Credential | DOM |
| Practice Address |
3065 Porter St Suite 105 Soquel CA 95073-2231 |
| Mailing Address |
2735 7th Ave N St Petersburg FL 33713-6913 |
| Practice Telephone | 8313458399 |
| Practice Fax Number | 8314805820 |
| Mailing Telephone | 7277104983 |
| Mailing Fax Number | 8314805820 |
| Enumeration Date | 2015-10-03 |
| Last Update Date | 2018-01-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | AP3866 | FL | Other Service Providers |
| N | 171100000X | Acupuncturist | 16733 | CA | Other Service Providers |
| Street Address |
3065 PORTER ST SUITE 105 |
| City | SOQUEL |
| State | CA |
| Zip Code | 95073-2231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942408299 | Agata Konopka | Dentist | 3065 Porter St, Suite 107, Soquel, CA 95073-2231 | 2007-07-10 |
| 1487831558 | Katherine W Dorsch | Prosthetic/Orthotic Supplier | 3065 Porter St, Suite 102, Soquel, CA 95073-2231 | 2008-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083963938 | Camille Ditter | Social Worker | 281 Paradise Lane, Soquel, CA 95073 | 2012-09-06 |
| 1811212640 | Rebecca C Hughes | Registered Nurse | 3622 Pringle Lane, Soquel, CA 95073 | 2010-04-05 |
| 1144450966 | Victoria Eagle | Counselor | 2425 Porter Street, #7, Soquel, CA 95073 | 2009-07-15 |
| 1184879405 | Mark Kevin Kalemos | Social Worker | 5905 Soquel Dr #300, Soquel, CA 95073 | 2008-12-01 |
| 1710144845 | Pauline Irene Fillion | Marriage & Family Therapist | 5905 Soquel Dr., Ste 200, Soquel, CA 95073 | 2008-05-16 |
| 1750508362 | Vickie Assunto | Marriage & Family Therapist | 2805 Porter St., Soquel, CA 95073 | 2007-04-18 |
| 1245356286 | Judy Gonzalez | Counselor | 2715 Porter Street, Soquel, CA 95073 | 2007-03-21 |
| 1942330550 | Jasmine Debra Berke | Acupuncturist | 2425 Porter Street, Soquel, CA 95073 | 2007-03-06 |
| 1275690802 | Andrea Beth Wachter | Marriage & Family Therapist | 5905 Soquel Dr 650, Soquel, CA 95073 | 2007-01-02 |
| 1194886606 | Shirley Laden Marcus | Marriage & Family Therapist | 5905 Soquel Drive, Suite 250, Soquel, CA 95073 | 2006-12-12 |
| Find all providers in zip 95073 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558871244 | Michelle Kim Dean | Acupuncturist | 1011 Hidden Valley Rd, Soquel, CA 95073-9708 | 2017-10-06 |
| 1841686144 | Jennifer Riegg | Acupuncturist | 3602 N Main St, Soquel, CA 95073-2554 | 2015-04-13 |
| 1568809135 | Lisa Lin Acupuncture | Acupuncturist | 3121 Park Ave Ste J, Soquel, CA 95073-2956 | 2013-05-23 |
| 1043654320 | Susannah Lee | Acupuncturist | 2825 Porter St, Suite B, Soquel, CA 95073-2467 | 2013-04-17 |
| 1093084857 | Miranda Gensler | Acupuncturist | 2840 Park Ave, Soquel, CA 95073-2866 | 2011-12-23 |
| 1982877759 | Danielle Erika Prauss | Acupuncturist | 2930 S Main St, Soquel, CA 95073-2415 | 2008-04-11 |
| 1942330550 | Jasmine Debra Berke | Acupuncturist | 2425 Porter Street, Soquel, CA 95073 | 2007-03-06 |
| 1871659425 | Charles T Savoca | Acupuncturist | 3121 Park Ave Ste H, Soquel, CA 95073-2956 | 2006-12-28 |
| 1740285808 | Summer Chong Rhee-pizano | Acupuncturist | 2825 Porter St Ste B, Soquel, CA 95073-2467 | 2005-06-16 |
| 1154989432 | Stellar Acupuncture Inc | Acupuncturist | 2840 Park Ave, Soquel, CA 95073-2866 | 2019-06-03 |
| Find all providers in SOQUEL | ||||
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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.