CACYCE FOWLER (NPI# 1457774200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457774200 |
| Entity Type | Individual |
| Full Name | CACYCE FOWLER |
| Practice Address |
108 4th Ave Sw Ste A Reform AL 35481 |
| Mailing Address |
108 4th Ave Sw Ste A Reform AL 35481-8018 |
| Practice Telephone | 2053756251 |
| Mailing Telephone | 2053756251 |
| Mailing Fax Number | 2053759064 |
| Enumeration Date | 2014-01-30 |
| Last Update Date | 2019-11-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1-093244 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | MEDICARE | A04122A | 01 |
| AL | BCBS OF ALABAMA | 512-17004 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4310 Watermelon Rd, Northport, AL 35473 | 2053305266 | 2053309915 |
| Street Address |
108 4TH AVE SW STE A |
| City | REFORM |
| State | AL |
| Zip Code | 35481 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083713556 | Robert Neil Honea | Family Medicine | 108 4th Ave Sw Ste A, Reform, AL 35481-8018 | 2006-09-21 |
| 1093341570 | Laci Jones | Social Worker | 108 4th Ave Sw Ste A, Reform, AL 35481-8018 | 2020-03-17 |
| 1003449869 | Jlbmd Consulting, PC | Family Medicine | 108 4th Ave Sw Ste A, Reform, AL 35481-8018 | 2020-02-19 |
| 1992152284 | Marilyn Dyer Smith | Nurse Practitioner | 108 4th Ave Sw Ste A, Reform, AL 35481-8018 | 2016-05-17 |
| 1629491451 | Pickens County Primary Care PC | Clinic/Center | 108 4th Ave Sw Ste A, Reform, AL 35481-8018 | 2014-01-30 |
| 1609114198 | Theresa Darlene Putman | Nurse Practitioner | 108 4th Ave Sw Ste A, Reform, AL 35481-8018 | 2013-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003476714 | Growing In The Dark Counseling Services | Counselor | 402 3rd Ave Sw, Reform, AL 35481 | 2019-06-14 |
| 1508332446 | Pickens County Primary Care, P.c | Family Medicine | 815 7th Ave Sw, Reform, AL 35481 | 2018-10-18 |
| 1679824684 | Kristin Hamner | Occupational Therapy Assistant | 515 2nd Avenue Nw, Reform, AL 35481 | 2012-10-01 |
| 1750509394 | Meredith L Mettee | Home Health | 216 1st St S, Reform, AL 35481 | 2007-04-20 |
| 1043313661 | Landreth & Associates Inc | Optometrist | 311 1st Street, Reform, AL 35481 | 2006-09-07 |
| 1780627356 | Harry Lee Richardson Jr. | Emergency Medicine | 514 10th Ave Sw, Reform, AL 35481 | 2006-06-13 |
| 1356381222 | Reform Pharmacy Inc | Pharmacy | 211 1st Street South, Reform, AL 35481 | 2006-06-07 |
| 1437626868 | Pickens County Primary Care, PC | Family Medicine | 205 4th Ave, Reform, AL 35481 | 2018-10-24 |
| 1023303013 | Brenda Sue Robertson | Physical Therapy Assistant | 515 2nd Ave Nw, Reform, AL 35481 | 2011-06-17 |
| 1134440894 | Reform Rural Health Center PC | Family Medicine | 514 10th Ave Sw, Reform, AL 35481 | 2010-06-17 |
| Find all providers in zip 35481 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700425386 | Marcus Stephenson | Nurse Practitioner | 108 4th Ave Ne, Reform, AL 35481-2227 | 2019-12-31 |
| 1992152284 | Marilyn Dyer Smith | Nurse Practitioner | 108 4th Ave Sw Ste A, Reform, AL 35481-8018 | 2016-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679174320 | Sweet Home Telehealth LLC | Nurse Practitioner | 3 Sudworth Dr Sw, Huntsville, AL 35824-4099 | 2020-11-07 |
| 1851991954 | Terry Brock | Nurse Practitioner | 4232 Cahaba Dr, Vestavia, AL 35243-1600 | 2020-10-28 |
| 1568062784 | Stephanie Terese Godwin | Nurse Practitioner | 391 Ashcraft Ln, Atmore, AL 36502-4225 | 2020-10-27 |
| 1588264725 | Sabine Susanne Lamont | Nurse Practitioner | 41 Eminence Way, Suite A, Pell City, AL 35128-2338 | 2020-10-27 |
| 1386243574 | Carl Andrew Ballard | Nurse Practitioner | 2635 Johnson Bottom Rd, Detroit, AL 35552-2731 | 2020-10-20 |
| 1023616661 | Yaira Maldonado | Nurse Practitioner | 191 Lee Road 207, Phenix City, AL 36870-8240 | 2020-10-15 |
| 1295333409 | Olivia Palmer | Nurse Practitioner | 770 W Market St, Athens, AL 35611 | 2020-10-12 |
| 1720685050 | Sean Jackson | Nurse Practitioner | 217 Tradewinds Cir, Alabaster, AL 35007-3019 | 2020-10-09 |
| 1104423235 | Rita Wiggins Branch | Nurse Practitioner | 12350 Flint Dr, Moundville, AL 35474-6246 | 2020-10-01 |
| 1538776778 | Mary Katherine Brandler | Nurse Practitioner | 1171 King Arthur Ct, Alabaster, AL 35007-3000 | 2020-09-30 |
| 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.