NPIMap

Organization Active NPI

Vanessa Fowlkes NP LLC

  • General Practice Registered Nurse
  • Henrico, VA
National Provider Identifier
1083906804
Registry record updated May 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
0024164743 Issued in VA
Legal business name
VANESSA FOWLKES NP LLC
Practice address
2447 Crowncrest Dr
Henrico, VA 23233-2517
Phone
(804) 405-9448
Fax
(804) 482-2830
NPI assigned
May 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2011

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

Authorized official

Name
Vanessa Peyton Fowlkes, FNP
Title
Owner
Phone
(804) 405-9448

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WG0000X 0024164743 VA Primary

Addresses

Primary practice location

2447 Crowncrest Dr
Henrico, VA 23233-2517

Mailing address

2447 Crowncrest Dr
Richmond, VA 23233-2517
Phone (804) 405-9448

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1305158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305158400000",
    "number": "1083906804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2447 CROWNCREST DR",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232332517",
            "telephone_number": "804-405-9448",
            "fax_number": "804-482-2830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2447 CROWNCREST DR",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232332517",
            "telephone_number": "804-405-9448",
            "fax_number": "804-482-2830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANESSA FOWLKES NP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-12",
        "last_updated": "2011-05-12",
        "status": "A",
        "authorized_official_last_name": "FOWLKES",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_middle_name": "PEYTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-405-9448",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, General Practice",
            "state": "VA",
            "license": "0024164743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henrico, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2011; 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.