Kristina Fowler, SPECIAL EDUCATOR

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

16 Superior St
Port Jefferson Station, NY 11776-4330

Phone

(631) 828-5378

NPI assigned

Apr 10, 2017

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 10, 2017.

{
    "created_epoch": "1491782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491782400000",
    "number": "1013440601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 SUPERIOR ST",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117764330",
            "telephone_number": "631-828-5378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 SUPERIOR ST",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117764330",
            "telephone_number": "631-828-5378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "KRISTINA",
        "name_prefix": "Mrs.",
        "credential": "SPECIAL EDUCATOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-10",
        "last_updated": "2017-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Baharak Fooladi, DDS
• Damian Forletti, M.D.
• Meagan Forsythe
• Jeanmarie Fortunato
• Amy Foster, LMSW
• Amanda Foy
• Francillia Francis-Bevans, PHD
• Nicole E Francisco, D.D.S.
• Frank Kershis PT PC
• Kimberly Ann Frasca, PSY.D.

• All providers in Port Jefferson Station, NY
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.