Hailey Rebecca Fowles, NP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

APRN.CNP.025298 Issued in OH

Practice address

140 Mill St Ste B
Gahanna, OH 43230-6509

Phone

(614) 284-4114

NPI assigned

Nov 6, 2019

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

Enrolled in OH, MO, IA3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 3

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/26301/brand/1/csg/1/fhir/r4
• Direct secure messaging: hfowles20195@carelonhealth.direct-ci.com

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.

• At Your Door Visiting Healthcare Services, LLC

  • Family Nurse Practitioner
  • Columbus, OH
  • NPI 1750760849
  Medicare reassignment NPD
• Carelon Medical Partners, PC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Nashville, TN
  • NPI 1124443403

  IA, MO, OH

  Medicare reassignment
• Health First Medical Center

  • Family Medicine Physician
  • Gahanna, OH
  • NPI 1760940316
  NPD (past)
• Carelon Medical Partners of Kansas, PA

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Leawood, KS
  • NPI 1952831422
  NPD (past)

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

{
    "created_epoch": "1572998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572998400000",
    "number": "1114561701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1685",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346821685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 MILL ST STE B",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432306509",
            "telephone_number": "614-284-4114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLES",
        "first_name": "HAILEY",
        "middle_name": "REBECCA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-06",
        "last_updated": "2019-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "APRN.CNP.025298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Foot & Ankle Specialists of
• Foot and Ankle Specialists of Central Ohio LLC (Foot & Ankle Specialists of Central Ohio)
• Foot and Ankle Specialists of Central Ohio, LLC
• Alexandra Lauren Fornof, RD
• Evan Mark Foster, DPT
• Christopher E Fox, OTD
• Morgan Justice Fox
• Myliekia Francois, MSW, LMSW
• Christopher Matthew Frank, MD
• Matthew James Franklin, MD

• Gerontology Nurse Practitioner in Gahanna, OH
• Providers in Gahanna, OH by specialty
• Gerontology Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.