DELANCEY FOWLER (NPI# 1407205404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407205404 |
| Entity Type | Individual |
| Full Name | DELANCEY FOWLER |
| Practice Address |
126 Clinic Dr Dothan AL 36303-1980 |
| Practice Telephone | 3347931881 |
| Practice Fax Number | 3347121815 |
| Mailing Telephone | 3347931881 |
| Mailing Fax Number | 3347121815 |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2016-06-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1-143521 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
126 CLINIC DR |
| City | DOTHAN |
| State | AL |
| Zip Code | 36303-1980 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790775807 | Aubrey Lee Scott | Pediatrics | 126 Clinic Dr, Dothan, AL 36303-1980 | 2005-10-28 |
| 1568901742 | Physician Management Services of Alabama LLC | Family Medicine | 126 Clinic Dr, Dothan, AL 36303-1980 | 2017-02-21 |
| 1679985055 | James Bradley Addison | Nurse Practitioner | 126 Clinic Dr, Dothan, AL 36303-1980 | 2014-05-20 |
| 1053731216 | Kristine Campbell Sawyer | Pediatrics | 126 Clinic Dr, Dothan, AL 36303-1980 | 2014-04-25 |
| 1437571627 | Tera R. Knighton | Nurse Practitioner | 126 Clinic Dr, Dothan, AL 36303-1980 | 2014-01-08 |
| 1841557204 | Allison Elizabeth Walker | Pediatrics | 126 Clinic Dr, Dothan, AL 36303-1980 | 2012-04-23 |
| 1497021414 | Lisa M Hicks | Nurse Practitioner | 126 Clinic Dr, Dothan, AL 36303-1980 | 2012-03-23 |
| 1407174626 | Cassandra Stein Nosser | Pediatrics | 126 Clinic Dr, Dothan, AL 36303-1980 | 2010-05-12 |
| 1013246594 | Lesley Cathryn Marsal | Psychologist | 126 Clinic Dr, Dothan, AL 36303-1980 | 2009-12-14 |
| 1538320825 | Alison Virginia Winstead | Pediatrics | 126 Clinic Dr, Dothan, AL 36303-1980 | 2008-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194205740 | Emblom & Vaughn, D.m.d., PC | Dentist | 318 Healthwest Dr., Dothan, AL 36303 | 2018-08-14 |
| 1164887907 | Bio-medical Applications of Alabama, Inc. | Clinic/Center | 118 Obrannan Park Drive, Dothan, AL 36303 | 2015-12-21 |
| 1245634245 | Api Counseling, LLC | Community/Behavioral Health | 1583 Montgomery Highway, Dothan, AL 36303 | 2014-10-20 |
| 1467792382 | Bolanle Boladale Akinduro | Home Health | 107 Hidden Glen Way, Dothan, AL 36303 | 2013-03-01 |
| 1104162114 | Al Dental PC | Dentist | 3400 Montgomery Highway, Dothan, AL 36303 | 2012-12-19 |
| 1659661874 | Juanita Titrud Heersink | Internal Medicine | 210 Westside Drive, Dothan, AL 36303 | 2011-04-08 |
| 1790918548 | Brandi Bradshaw Reeves | Counselor | 100 Westside Dr., Dothan, AK 36303 | 2009-08-27 |
| 1396917589 | Brian Davis | Physical Therapist | 3763 Ross Clark Circle, Dothan, AL 36303 | 2008-03-27 |
| 1558544544 | Healthwest Dental Associates PC | Dentist | 502 Healthwest Drive, Dothan, AL 36303 | 2007-12-12 |
| 1770644775 | Christine Carroll Fain | Occupational Therapist | 3763 Ross Clark Cir Ste 1, Alacare Home Health, Dothan, AL 36303 | 2006-12-13 |
| Find all providers in zip 36303 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295362408 | Stephen M Pendergraft | Nurse Practitioner | 4740 W Main St, Dothan, AL 36305-9423 | 2020-03-26 |
| 1689205767 | Sassy Lashawn Sylvester | Nurse Practitioner | 410 Ridgeland Rd, Dothan, AL 36301-1117 | 2020-01-28 |
| 1700344488 | Gregory Keith Tice | Nurse Practitioner | 1118 Ross Clark Cir Ste 704, Dothan, AL 36301-3030 | 2019-03-12 |
| 1144732520 | Kasey Duffie Chance | Nurse Practitioner | 211 Brushfire Dr, Dothan, AL 36305-7069 | 2017-10-25 |
| 1306364062 | Janeetra Janiece Coachman | Nurse Practitioner | 9 Trillium Cir Apt 1401, Dothan, AL 36301-7653 | 2017-09-01 |
| 1265954010 | Melanie Jo Ellison | Nurse Practitioner | 973 Dunn Rd, Dothan, AL 36303-1056 | 2017-07-13 |
| 1679012629 | Elva Calderon | Nurse Practitioner | 1736 E Main St Ste 100, Dothan, AL 36301-3040 | 2017-02-22 |
| 1649610395 | Kelli Saage Anderson | Nurse Practitioner | 1146 Ross Clark Cir, Dothan, AL 36301-3022 | 2013-06-26 |
| 1902040090 | Cindy Ruth Hemendinger | Nurse Practitioner | 3124 Ross Clark Cir, Dothan, AL 36303-3038 | 2009-04-21 |
| 1770737249 | Kelley E Blake | Nurse Practitioner | 4300 W Main St Ste 45, Dothan, AL 36305-1317 | 2008-11-11 |
| Find all providers in DOTHAN | ||||
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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.