JENNIFER FOWLKES (NPI# 1992109896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992109896 |
Entity Type | Individual |
Full Name | JENNIFER FOWLKES |
Credential | CRNP, FNP-C |
Practice Address |
33 Magothy Beach Rd Ste 102-103 Pasadena MD 21122 |
Mailing Address |
33 Magothy Beach Rd Ste 102-103 Pasadena MD 21122-4413 |
Practice Telephone | 4102557900 |
Mailing Telephone | 4102557900 |
Enumeration Date | 2014-10-21 |
Last Update Date | 2018-07-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | R177755 | MD | Nursing Service Providers |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R177755 | MD | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
485 Ritchie Hwy, Severna Park, MD 211462918 | 4102557900 | |
7055 Samuel Morse Dr, Suite 200, Columbia, MD 210463439 | 4109106700 |
Street Address |
33 MAGOTHY BEACH RD STE 102-103 |
City | PASADENA |
State | MD |
Zip Code | 21122 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518932268 | Perry R Weisman | Emergency Medicine | 33 Magothy Beach Rd Ste 102-103, Doctors Regional Medical Center, Pasadena, MD 21122-4413 | 2006-02-17 |
1033736780 | Kimberly Lauren Harris | Physician Assistant | 33 Magothy Beach Rd Ste 102-103, Pasadena, MD 21122-4413 | 2020-06-29 |
1043862071 | Brady Skiles | Physician Assistant | 33 Magothy Beach Rd Ste 102-103, Pasadena, MD 21122-4413 | 2019-07-10 |
1932676756 | Matthew M Castagna | Physician Assistant | 33 Magothy Beach Rd Ste 102-103, Pasadena, MD 21122-4413 | 2018-10-30 |
1558872374 | Wisecare Primary Care | Internal Medicine | 33 Magothy Beach Rd Ste 102-103, Pasadena, MD 21122-4413 | 2017-10-19 |
1548798366 | Jessica Lynn Campbell | Nurse Practitioner | 33 Magothy Beach Rd Ste 102-103, Pasadena, MD 21122-4413 | 2017-05-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740889211 | Hyunji Lee | Pharmacist | 8107 Governor Ritchie Highway, Pasadena, MD 21122 | 2020-10-25 |
1538712625 | Liri Fusha | Clinic/Center | 8221 Richie Hwy Suit #102, Pasadena, MD 21122 | 2019-07-18 |
1730649922 | Barrett Arthur Tollenger | Counselor | 2825 Mountain Road, Suite 204, Pasadena, MD 21122 | 2019-03-22 |
1750849543 | Bradley J Spoon | Counselor | 8028 Ritchie Highway St. 312, Pasadena, MD 21122 | 2019-03-11 |
1366916553 | Brittney Byrd | Behavior Technician | 7759 Middlegate Ct, Pasadena, MD 21122 | 2019-01-22 |
1780154310 | Amanda Ann Zeller | Speech-Language Pathologist | 8515 Jenkins Road, Pasadena, MD 21122 | 2018-11-27 |
1225531544 | Anne Arundel-sca Surgicenter, LLC | Clinic/Center | 8109 Ritchie Hwy Ste 250, Pasadena, MD 21122 | 2018-03-13 |
1629577424 | Anne Arundel Physician Group, LLC | Obstetrics & Gynecology | 18 Magothy Beach Road Suite A, Pasadena, MD 21122 | 2018-02-07 |
1063968261 | Chinedu Ikpemo | Pharmacist | 8051 Fort Smallwood Rd, Pasadena, MD 21122 | 2016-08-28 |
1053728634 | Wisecare, LLC | Clinic/Center | 33 Magothy Beach Rd, Suite 102-103, Pasadena, MD 21122 | 2014-07-16 |
Find all providers in zip 21122 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861092504 | Kyle Kettle | Nurse Practitioner | 5030 Crenshaw Rd Ste 120, Pasadena, TX 77505-3141 | 2020-10-30 |
1013516640 | Heather Mekins | Nurse Practitioner | 721 Bridge Dr, Pasadena, MD 21122-4553 | 2020-10-24 |
1891394953 | Tammy Jean Bobbitt-gray | Nurse Practitioner | 10801 Choate Rd, Pasadena, TX 77507-1503 | 2020-10-20 |
1467067447 | Lizette Cabral | Nurse Practitioner | 1144 N Mentor Ave, Pasadena, CA 91104-3824 | 2020-09-15 |
1679188304 | Kimberly Yam | Nurse Practitioner | 1575 N Lake Ave Ste 208, Pasadena, CA 91104-2340 | 2020-09-10 |
1215569785 | Kristine Elizabeth Chesney | Nurse Practitioner | 1288 Holmespun Dr, Pasadena, MD 21122-2578 | 2020-02-12 |
1598304958 | Sophia A Phillip | Nurse Practitioner | 65 N Madison Ave Ste 800, Pasadena, CA 91101-2038 | 2020-01-03 |
1831748359 | Altagracia Garza | Nurse Practitioner | 908 Southmore Ave Ste 130, Pasadena, TX 77502-1100 | 2019-09-06 |
1548817919 | Ansela Chaluparambil | Nurse Practitioner | 3326 Watters Rd Bldg D, Pasadena, TX 77504-2053 | 2019-08-21 |
1972155828 | Michelle Elizabeth Hinkey | Nurse Practitioner | 8109 Ritchie Hwy # 100, Pasadena, MD 21122-6917 | 2019-07-11 |
Find all providers in PASADENA |
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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.