FARA MOORE FOWLER (NPI# 1174545321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174545321 |
| Entity Type | Individual |
| Full Name | FARA MOORE FOWLER |
| Credential | RNC |
| Practice Address |
164 Waccamaw Medical Park Dr Conway SC 29526-8903 |
| Mailing Address |
121 Clemson Rd Conway SC 29526-8830 |
| Practice Telephone | 8433475060 |
| Mailing Telephone | 8433476564 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
00026004 | SC | Nursing Service Providers |
| Street Address |
164 WACCAMAW MEDICAL PARK DR |
| City | CONWAY |
| State | SC |
| Zip Code | 29526-8903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659370021 | Kurt Klauburg | Psychiatry & Neurology | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2005-07-19 |
| 1740881242 | Tracey Buster | Social Worker | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2020-11-03 |
| 1417557471 | South Carolina Dept of Mental Health Accounting Office | Clinic/Center | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2020-10-29 |
| 1427676907 | Leslie Ethridge Barnes | Registered Nurse | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2020-07-10 |
| 1043849151 | Juleian Edwards | Counselor | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2020-04-02 |
| 1942835202 | Rachel Anne Hemingway | Registered Nurse | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2020-03-06 |
| 1912530221 | Matthew John Beauchemin | Social Worker | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2020-02-14 |
| 1114559085 | Jeffrey N. Osborne | Counselor | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2020-02-10 |
| 1790317006 | Joshawna April Mcabee | Social Worker | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2020-02-05 |
| 1922639343 | Lorie A Matthews | Counselor | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2020-02-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457975237 | Terri L Champion | Massage Therapist | 172 Waccamaw Medical Park Court, Conway, SC 29526 | 2020-06-08 |
| 1689204398 | Alayna Defalco | Clinical Exercise Physiologist | 1320 501 Business, Unit E, Conway, SC 29526 | 2020-01-22 |
| 1124672662 | Proxsys Rx - Sc, LLC | Pharmacy | 300 Singelton Ridge Road, Conway, SC 29526 | 2019-08-01 |
| 1598227431 | Surgery Center of Conway Inc | Clinic/Center | 1405 Main Street, Conway, SC 29526 | 2019-04-01 |
| 1801374962 | Trevor James Hess | Specialist/Technologist | 905 One Landon Loop, Conway, SC 29526 | 2018-08-01 |
| 1851800817 | Katherine Ann Nimphius | Behavioral Analyst | 105 Timberline Dr, Conway, SC 29526 | 2017-09-21 |
| 1922544253 | William Houck | Specialist/Technologist | 925 One Landon Loop, Conway, SC 29526 | 2017-01-10 |
| 1952857278 | Courtney Jeanette Smith | Counselor | 164 Waccamaw Medical Park Dr., Conway, SC 29526 | 2016-08-28 |
| 1336502632 | Jebediah S. Christy, D.d.s - Conway, Pllc | Dentist | 2756 Church St, Conway, SC 29526 | 2016-04-04 |
| 1447615208 | Abl Enterprises, LLC | Optometrist | 113 Citadel Drive, Conway, SC 29526 | 2015-12-22 |
| Find all providers in zip 29526 | ||||
| Taxonomy Code | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003843277 | Jo Ann Clay | Registered Nurse | 680 Hogan Ln, Conway, AR 72034-8131 | 2006-06-26 |
| 1669657987 | Judy G. Figueroa | Registered Nurse | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2008-01-05 |
| 1619993128 | Besty L Franklin | Registered Nurse | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2006-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124646237 | Joanna Wiseman | Registered Nurse | 142 Nims Spring Dr, Fort Mill, SC 29715-6461 | 2020-07-07 |
| 1851870414 | Soledad Velina | Registered Nurse | 810 Dutch Square Blvd Ste 116, Columbia, SC 29210-7318 | 2018-08-13 |
| 1366870933 | Virginia C. White | Registered Nurse | 301-a Palmetto Park Boulevard, Lexington County Community Mental Health Center, Lexington, SC 29072 | 2013-10-17 |
| 1821243643 | Terri-lynn Lashai Mcdonald | Registered Nurse | 10 Richland Medical Park, Suite B, Columbia, SC 29203 | 2008-11-20 |
| 1427661255 | Amy James | Registered Nurse | 109 Bee St, Charleston, SC 29401-5703 | 2020-08-31 |
| 1689299091 | Logan C Smith | Registered Nurse | 1278 N Lafayette Dr, Sumter, SC 29150-2964 | 2020-06-11 |
| 1609392893 | Letressa Antoinette Flemming | Registered Nurse | 1850 Pineview Dr, Columbia, SC 29209-5085 | 2017-08-18 |
| 1164950374 | Jonathan W Hunt | Registered Nurse | 2100 Charlie Hall Blvd, Charleston, SC 29414-5832 | 2017-06-01 |
| 1083141576 | Rashida Hunter | Registered Nurse | 2100 Charlie Hall Blvd, Charleston, SC 29414-5832 | 2017-05-16 |
| 1891231056 | Lisa Brown | Registered Nurse | 448 Lakeshore Pkwy Ste 205, Rock Hill, SC 29730-4264 | 2017-01-12 |
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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.