Active NPI
Tiffany Fowler, PA-C
- Physician Assistant
- Flower Mound, TX
National Provider Identifier
1184046732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA10679
- Practice address
- 3051 Churchill Dr Ste 100
Flower Mound, TX 75022-5900 - Phone
- (972) 410-3682
- Fax
- (972) 410-3683
- NPI assigned
- Jan 16, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA10679 | TX | Primary |
Addresses
Primary practice location
3051 Churchill Dr Ste 100
Flower Mound, TX 75022-5900
Mailing address
3051 Churchill Dr Ste 100
Flower Mound, TX 75022-5900
Phone (972) 410-3682
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA10679 | TX | MD | Physician Assistant |
Interoperability endpoints
- https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/69286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472515200000",
"number": "1184046732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3051 CHURCHILL DR STE 100",
"city": "FLOWER MOUND",
"state": "TX",
"postal_code": "750225900",
"telephone_number": "972-410-3682",
"fax_number": "972-410-3683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3051 CHURCHILL DR STE 100",
"city": "FLOWER MOUND",
"state": "TX",
"postal_code": "750225900",
"telephone_number": "972-410-3682",
"fax_number": "972-410-3683"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOWLER",
"first_name": "TIFFANY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-16",
"last_updated": "2016-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA10679",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flower Mound, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.