Mallory P Fowler, MHPP

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1408 E. 8TH St
Danville, AR 72833

Phone

(479) 495-5177

Fax

(479) 495-5187

NPI assigned

Oct 17, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Conway County Community Service Inc.

  • Community/Behavioral Health Agency
  • Danville, AR
  • NPI 1316172430
  NPD (past)
• Conway County Community Service Inc.

  • Community/Behavioral Health Agency
  • Morrilton, AR
  • NPI 1770631467

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1508198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508198400000",
    "number": "1093226151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 679",
            "city": "MORRILTON",
            "state": "AR",
            "postal_code": "721100679",
            "telephone_number": "501-354-4589",
            "fax_number": "501-354-5410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 E. 8TH ST",
            "city": "DANVILLE",
            "state": "AR",
            "postal_code": "72833",
            "telephone_number": "479-495-5177",
            "fax_number": "479-495-5187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "MALLORY",
        "middle_name": "P",
        "credential": "MHPP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-17",
        "last_updated": "2017-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Lou Dollar, APRN
• Brooklyn Dougan, M.S., CCC-SLP
• Katelyn Fink, MHPP
• Forrest L Moudy DDS PA Inc
• Shannon N Foster, OTRL
• Macy Rose French, M.S. CCC-SLP
• Mackenlea Gipson
• Shannon Golden, APN
• Patricia Gregory, PTA
• Meagan Hambuchen, SLP

• Case Manager/Care Coordinator in Danville, AR
• Providers in Danville, AR by specialty
• Case Manager/Care Coordinator in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.