TRACY M FOWLER (NPI# 1801201173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801201173 |
| Entity Type | Individual |
| Full Name | TRACY M FOWLER |
| Credential | APRN/PNP |
| Practice Address |
555 W 15th St Suite A Liberal KS 67901-2467 |
| Mailing Address |
Po Box 1215 Liberal KS 67905-1215 |
| Practice Telephone | 6206240702 |
| Practice Fax Number | 6206245078 |
| Mailing Telephone | 6206296638 |
| Mailing Fax Number | 6206296684 |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2017-04-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
5376397 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619309770 | Tracy A Fowler | Counselor | 4300 Sw 13th St, Gainesville, FL 32608-4006 | 2013-07-31 |
| 1063431641 | Tracy L. Fowler | Registered Nurse | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2006-07-18 |
| Street Address |
555 W 15TH ST SUITE A |
| City | LIBERAL |
| State | KS |
| Zip Code | 67901-2467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912954942 | Kansas City Vamc | Clinic/Center | 555 W 15th St, Liberal, KS 67901-2461 | 2006-05-27 |
| 1821351487 | Van Tuong Trinh | Family Medicine | 555 W 15th St, Ste A, Liberal, KS 67901-2467 | 2012-06-19 |
| 1184907784 | Linsey Kay Carter | Nurse Practitioner | 555 W 15th St, Suite A, Liberal, KS 67901-2467 | 2011-09-21 |
| 1669762167 | Rohitha Inturi | Family Medicine | 555 W 15th St, Suite A, Liberal, KS 67901-2467 | 2011-04-18 |
| 1245488956 | Laura J. Kane | Nurse Practitioner | 555 W 15th St, Suite A, Liberal, KS 67901-2467 | 2008-09-05 |
| 1659559540 | Britt Nicole Short | Nurse Practitioner | 555 W 15th St, Ste A, Liberal, KS 67901-2467 | 2008-02-04 |
| 1861503849 | Advanced Surgical Weight Loss, Chartered | Surgery | 555 W 15th St, Suite B, Liberal, KS 67901-2467 | 2006-08-31 |
| 1386667731 | Gurpreet Singh Randhawa | Pediatrics | 555 W 15th St, Ste A, Liberal, KS 67901-2468 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104264803 | Juanita Elise Monroe | Registered Nurse | 515 4th St, Liberal, KS 67901 | 2013-06-05 |
| 1588917454 | Liberal Diagnostics, LLC | Clinic/Center | 23 Professional Drive, Liberal, KS 67901 | 2012-10-17 |
| 1598091001 | Sunflower Pediatrics | Pediatrics | 2132 N. Kansas Ave, Ste B, Liberal, KS 67901 | 2009-10-19 |
| 1477780955 | Southwest Medical Center | Clinic/Center | 1411 W. 15th Street, Ste. 102, Liberal, KS 67901 | 2009-06-11 |
| 1336375104 | Nchang Mantoh Azefor | Surgery | 305 W 15th St Ste 204, Liberal, KS 67901 | 2009-06-06 |
| 1114152121 | Firas I. Kawtharani | Orthopaedic Surgery | 305 W 15th St Ste 101, Liberal, KS 67901 | 2009-05-19 |
| 1871613067 | William (bill) Joseph Michael Settle | Anesthesiology | 2132 N Kansas Avenue, Suite C, Liberal, KS 67901 | 2007-03-30 |
| 1851430532 | Bruce W Jackson | Dentist | 111 Lilac Dr, Liberal, KS 67901 | 2007-02-06 |
| 1376637058 | Dr. Peter Lee D.o. | Clinic/Center | 23 East 11th, Liberal, KS 67901 | 2006-10-03 |
| 1568574002 | Terry Dee Romans | Dentist | 2110 N Grant, Liberal, KS 67901 | 2006-08-31 |
| Find all providers in zip 67901 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689283889 | Larisa Dawn Reida | Nurse Practitioner | 3049 Sw Rustic Rd, Benton, KS 67017-9159 | 2020-07-24 |
| 1447724653 | Kristen Michelle Wastler | Nurse Practitioner | 8340 Mission Rd Ste 100, Prairie Village, KS 66206-1367 | 2019-01-22 |
| 1336643691 | Jennifer Whitney Jensen | Nurse Practitioner | 1010 N Kansas St Ste 3054, Wichita, KS 67214-3124 | 2018-03-21 |
| 1831546423 | Danielle Elizabeth Berg | Nurse Practitioner | 29475 W 189th Ter, Gardner, KS 66030-9428 | 2016-05-24 |
| 1255564357 | Stacey D. Howell | Nurse Practitioner | 550 N. Hillside, Ku Wichita Pediatric Hospitalists, Wichita, KS 67214 | 2009-08-24 |
| 1962623058 | Julie Lynne Thorne | Nurse Practitioner | 21 N 12th St Ste 300, Kansas City, KS 66102-5105 | 2007-05-02 |
| 1922159656 | Harriett Currie Navarre | Nurse Practitioner | 4313 State Ave, Kansas City, KS 66102-3734 | 2007-01-16 |
| 1316004765 | Ruth H Oliverson | Nurse Practitioner | 9825 E Shannon Woods Cir, Wichita, KS 67226-4100 | 2007-01-03 |
| 1598825515 | Angela Marie Harrish | Nurse Practitioner | 5250 West 94th Terrace, Prairie Village, KS 66207 | 2006-12-11 |
| 1407869126 | Sharon R Tyson | Nurse Practitioner | 9825 E Shannon Woods, Wichita, KS 67226-4100 | 2006-08-14 |
| 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.