Kecia Fowler, DOM

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AP3866 Issued in FL

Practice address

3065 Porter St
Suite 105
Soquel, CA 95073-2231

Phone

(831) 345-8399

Fax

(831) 480-5820

NPI assigned

Oct 3, 2015

Last updated

Jan 9, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1443830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515456000000",
    "number": "1043680002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2735 7TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337136913",
            "telephone_number": "727-710-4983",
            "fax_number": "831-480-5820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3065 PORTER ST",
            "address_2": "SUITE 105",
            "city": "SOQUEL",
            "state": "CA",
            "postal_code": "950732231",
            "telephone_number": "831-345-8399",
            "fax_number": "831-480-5820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "KECIA",
        "credential": "DOM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-03",
        "last_updated": "2018-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "16733",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP3866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stanislav Fedechkin, LCSW
• Joshua James Fischer, DO
• Hasanna Fletcher, LMFT
• Forward Day LLC
• Jordan Foster, LCSW
• Leslie Carol French-Baxter, LMFT
• Colin W Frogley, DC
• Kirstin Linne Gagarin
• Luis Manuel Galvan, RN
• Katie Lynne Garner

• Acupuncturist in Soquel, CA
• Providers in Soquel, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2018; 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.