Individual provider Active NPI

Gency Fowler, RN

  • Registered Nurse
  • Louisville, KY
National Provider Identifier
1184074890
Registry record updated Jun 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
1064952 Issued in KY
Practice address
312 Whittington Pkwy
Ste. 020
Louisville, KY 40222-4923
Phone
(502) 429-1249
Fax
(502) 429-1255
NPI assigned
Jun 14, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1064952 KY Primary

Addresses

Primary practice location

312 Whittington Pkwy
Ste. 020
Louisville, KY 40222-4923

Mailing address

502 Colonel Anderson Pkwy
Louisville, KY 40222-5517
Phone (502) 429-1249

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
1064952KYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Ccshcn- First Steps Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1465862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465862400000",
    "number": "1184074890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 COLONEL ANDERSON PKWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402225517",
            "telephone_number": "502-429-1249",
            "fax_number": "502-429-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 WHITTINGTON PKWY",
            "address_2": "STE. 020",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402224923",
            "telephone_number": "502-429-1249",
            "fax_number": "502-429-1255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "GENCY",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-14",
        "last_updated": "2016-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1064952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.

Verify at the official NPI Registry.