DR. JEREMY ALLAN FOWLER (NPI# 1518502756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518502756 |
| Entity Type | Individual |
| Full Name | DR. JEREMY ALLAN FOWLER |
| Practice Address |
1100 N College Ave Fayetteville AR 72703-1944 |
| Mailing Address |
Po Box 2429 Smyrna TN 37167-1719 |
| Practice Telephone | 8445018387 |
| Mailing Telephone | 4794434301 |
| Enumeration Date | 2019-11-12 |
| Last Update Date | 2019-11-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TH0100X |
Psychologist Specialization: Health Service |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225290406 | Jeremy David Fowler | Optometrist | 6501 Veterans Memorial Pkwy, Crestwood, KY 40014-8694 | 2008-06-27 |
| 1922206143 | Jeremy R Fowler | Family Medicine | 191 E Orchard Rd, #300, Littleton, CO 80121-8000 | 2007-07-10 |
| Street Address |
1100 N COLLEGE AVE |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72703-1944 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265435697 | Randall B Davis | Specialist | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2005-05-31 |
| 1548870462 | Anna Parker | Pharmacist | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2020-08-05 |
| 1912522095 | Shan M Khan | Dentist | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2020-06-14 |
| 1760003495 | Andrea G. Burnett | Respiratory Therapist, Registered | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2020-05-05 |
| 1396366092 | Robin Elizabeth Bush | Respiratory Therapist, Registered | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2020-05-04 |
| 1295356186 | Brock Helfrich | Optometrist | 1100 N College Ave, Fayetteville, AR 72703-1999 | 2020-05-01 |
| 1285255661 | Curtis Deon Burnley Jr. | Optometrist | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2020-04-27 |
| 1871113878 | Katherine Lynn Horn | Optometrist | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2020-04-20 |
| 1649890930 | William Colton Cheek | Optometrist | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2020-04-16 |
| 1487285995 | Kristen Schatzman | Social Worker | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2020-02-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154391 | Margaret Sorrells | Pharmacist | 3909 N Mall Ave Attn:pharmacy, Fayetteville, AR 72703 | 2020-11-06 |
| 1497369631 | Justin A Rand | Massage Therapist | 88 W Colt Square Dr, Fayetteville, Ar 72703, Fayetteville, AR 72703 | 2020-09-04 |
| 1235777558 | Washington Regional Medical System | Specialist | 3264 N North Hills Blvd, Fayetteville, AR 72703 | 2019-12-17 |
| 1760024582 | Haley Brooke Thompson | Occupational Therapist | 2474 E Joyce Blvd Ste 2, Null, Fayetteville, AR 72703 | 2019-10-14 |
| 1306492129 | Bhg L, LLC | Clinic/Center | 8 Colt Square Drive, Fayetteville, AR 72703 | 2019-08-16 |
| 1306406269 | Idell Marie Mitchell | Optometrist | Eye Clinic, 1100 N College Ave, Fayetteville, AR 72703 | 2019-06-13 |
| 1821574815 | Toni Myer | Nurse Practitioner | 3 E Appleby Rd Ste 101, Fayetteville, AR 72703 | 2018-07-13 |
| 1306340393 | Josh Kelfer | Student in an Organized Health Care Education/Training Program | 1125 North College Avenue, Fayetteville, AR 72703 | 2018-03-22 |
| 1649726449 | Vantage Point of Nwa | Community/Behavioral Health | 4171 N. Crossover Rd, Fayetteville, AR 72703 | 2016-08-31 |
| 1386097137 | Jason Nordstrom | Speech-Language Pathologist | 2664 N Valencia Ave, Fayetteville, AR 72703 | 2016-07-18 |
| Find all providers in zip 72703 | ||||
| Taxonomy Code | 103TH0100X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Health Service |
| A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). |
| Notes: Source: National Register of Health Service Providers in Psychology website http://www.nationalregister.org/about_NR.html [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578879169 | Child's Play Therapy Center, Inc | Psychologist | 3401-b Village Drive, Fayetteville, NC 28304-7583 | 2010-08-20 |
| 1235312661 | New Hope Residential | Psychologist | 235 Westlake Rd, Suite 201, Fayetteville, NC 28314-4863 | 2007-12-07 |
| 1346370798 | George J. Franks | Psychologist | 114 Highland Ave, Fayetteville, NC 28305-5306 | 2007-03-06 |
| 1770612657 | Robert J. Ritzema | Psychologist | 114 Highland Ave, Fayetteville, NC 28305-5306 | 2007-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588175525 | Mirtha Cellitti | Psychologist | 8109 Interstate 30, Little Rock, AR 72209-4840 | 2017-10-17 |
| City | FAYETTEVILLE |
| Zip Code | 72703 |
Please comment or provide details below to improve the information on DR. JEREMY ALLAN FOWLER.
| 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.