Natalie Marisa Fowler, RN, BSN

Primary specialty

Critical Care Medicine Registered NurseTaxonomy code 163WC0200X

License

276359 Issued in NC

Practice address

4780 Balsom Rd
Pfafftown, NC 27040-8719

Phone

(336) 479-4445

NPI assigned

Oct 21, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Natalie Marisa Floyd Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1634774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1124781547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4780 BALSOM RD",
            "city": "PFAFFTOWN",
            "state": "NC",
            "postal_code": "270408719",
            "telephone_number": "336-479-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4780 BALSOM RD",
            "city": "PFAFFTOWN",
            "state": "NC",
            "postal_code": "270408719",
            "telephone_number": "336-479-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "NATALIE",
        "middle_name": "MARISA",
        "credential": "RN, BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-21",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "NC",
            "license": "276359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATALIE",
            "last_name": "FLOYD",
            "middle_name": "MARISA",
            "credential": "NONE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Critical Care Medicine Registered Nurse in Pfafftown, NC
• Providers in Pfafftown, NC by specialty
• Critical Care Medicine Registered Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; 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.