Zachary Daniel Fowler, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1140191 Issued in TX

Practice address

11330 Legacy Dr Ste 103
Frisco, TX 75033-1210

Phone

(469) 221-9267

NPI assigned

Jan 11, 2024

Sex

Male

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1704931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1194596700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 FM 423 APT 14115",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750363100",
            "telephone_number": "817-852-9620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11330 LEGACY DR STE 103",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750331210",
            "telephone_number": "469-221-9267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "ZACHARY",
        "middle_name": "DANIEL",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-11",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1140191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabella Foussell, OTR
• Curtis Fowler
• Jacob Fowler
• Tondala Fowler, CAMS,B.S.
• Victoria Elaine Fowler, NP
• Emily Rebecca Fox, DNP, APRN, NNP-BC
• Kaitlyn Fox
• Taylor Michelle Foxall
• FPDS Fso PLLC
• Jaime Anne Francescangeli, DC

• Psychiatric/Mental Health Nurse Practitioner in Frisco, TX
• Providers in Frisco, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; 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.