AMY LYNN FOWKES (NPI# 1083965206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083965206 |
| Entity Type | Individual |
| Full Name | AMY LYNN FOWKES |
| Credential | PSYD |
| Practice Address |
6200 Crestwood Sta Suite A Crestwood KY 40014-7418 |
| Mailing Address |
10408 Shadow Ridge Ln Louisville KY 40241-1299 |
| Practice Telephone | 5022432622 |
| Practice Fax Number | 5022432692 |
| Mailing Telephone | 4127704181 |
| Enumeration Date | 2012-09-27 |
| Last Update Date | 2012-09-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
2011-100 | KY | Behavioral Health & Social Service Providers |
| Street Address |
6200 CRESTWOOD STA SUITE A |
| City | CRESTWOOD |
| State | KY |
| Zip Code | 40014-7418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487687174 | Merclan Pllc | Psychologist | 6200 Crestwood Sta, Suite A, Crestwood, KY 40014-7418 | 2006-07-08 |
| 1750489944 | Sarah Acland | Psychiatry & Neurology | 6200 Crestwood Sta, Suite A, Crestwood, KY 40014-7418 | 2006-09-20 |
| 1275636193 | Patricia L Gosnell | Social Worker | 6200 Crestwood Sta, Suite B, Crestwood, KY 40014-7418 | 2006-09-06 |
| 1174635619 | Susan Kathleen Shearer | Counselor | 6200 Crestwood Sta, Ste A, Crestwood, KY 40014-7418 | 2006-08-31 |
| 1609895697 | Elaine M Duncan | Counselor | 6200 Crestwood Sta, Suite A, Crestwood, KY 40014-7418 | 2006-07-19 |
| 1326067323 | Fay C Mccutchan | Social Worker | 6200 Crestwood Sta, Suite A, Crestwood, KY 40014-7418 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720411556 | Meagan L Vowels | Behavioral Analyst | 5895 W. Hwy 146, Crestwood, KY 40014 | 2013-08-15 |
| 1003157538 | Craig L Satterley | Physical Therapist | 6003 Pleasant Colony Ct Ste 3, Crestwood, KY 40014 | 2013-03-07 |
| 1871868802 | Wallace Lyle Past Sr. | General Practice | 4608 Heritage Manor, Crestwood, KY 40014 | 2012-03-08 |
| 1609153725 | Patricia Ann Gray | Behavioral Analyst | 5895 W Highway 146, Crestwood, KY 40014 | 2011-11-03 |
| 1528374253 | Laura R Carroll | Dentist | 6344 W. Hwy 146 Ste 100, Crestwood, KY 40014 | 2010-08-18 |
| 1699922849 | Mortenson Family Dental Center | Clinic/Center | 6408 W Hwy 146, Crestwood, KY 40014 | 2008-08-19 |
| 1760658546 | Kathy J. Pansegrau, Dc, Psc | Chiropractor | 6402 Westwind Way, Suite 5, Crestwood, KY 40014 | 2008-05-01 |
| 1952584054 | Alyssa Ann Dykgraaf | Dentist | 5805 Whwy 22, Ste 100, Crestwood, KY 40014 | 2007-12-11 |
| 1780881649 | Gwinn A. K. Vonnahme | Dentist | 5998 Pleasant Colony Ct. Suite 23, Crestwood, KY 40014 | 2007-07-02 |
| 1326250960 | Sue B Feeley | Dentist | 6225 W Hwy 146, Crestwood, KY 40014 | 2007-05-04 |
| Find all providers in zip 40014 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124542881 | Jennifer Bogard | Psychologist | 5506 Lake Ct, Crestwood, KY 40014-9542 | 2017-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437775566 | Vora Onique Blake | Psychologist | 305 Lindenhurst Dr Apt 8201, Lexington, KY 40509-1369 | 2020-06-24 |
| 1063032589 | Jarvis M Brookins | Psychologist | U.S. 68 Ste 900, Maysville, KY 41056-4105 | 2020-04-24 |
| 1639707839 | A Center for Change | Psychologist | 5900 Route Us 60 W, Suite A, Ashland, KY 41102-9508 | 2020-04-01 |
| 1760049472 | Donald August Kleine-kracht | Psychologist | 106 Frazee Hall, Lexington, KY 40506-0001 | 2019-05-29 |
| 1730645490 | New Hope Counseling Services L.l.c | Psychologist | 330 Roy Drive, Russell Springs, KY 42642 | 2019-02-18 |
| 1376013342 | Carmen Sue Frederick | Psychologist | 731 Speckman Road, Louisville, KY 40243 | 2018-12-03 |
| 1194205955 | Rae Lyn Glover | Psychologist | 651 Longview Dr, Lexington, KY 40503-1709 | 2018-08-20 |
| 1841778198 | Healing Hearts | Psychologist | 2205 Carter Ave, Ashland, KY 41101-7823 | 2018-07-30 |
| 1669982328 | Clarity Counseling Services, Psc | Psychologist | 620 Euclid Ave Ste 203, Lexington, KY 40502-6429 | 2017-10-09 |
| 1962866368 | Angela Aaron | Psychologist | 3085 Maddie Ln, Lexington, KY 40511-8951 | 2016-04-12 |
| Find all providers with the same taxonomy | ||||
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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.