Brittany Elise Fowler, CNP-FAMILY

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP-17662 Issued in OH

Practice address

6413 Thornberry CT
Mason, OH 45040-7821

Phone

(513) 770-0787

NPI assigned

Jul 14, 2015

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 identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 1, 2021 through Jul 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Amy Brenner MD & Associates, LLC

  • Obstetrics & Gynecology Physician
  • Mason, OH
  • NPI 1588969810
  NPD
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

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

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1275917866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6413 THORNBERRY CT",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450407821",
            "telephone_number": "513-770-0787",
            "fax_number": "513-770-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6413 THORNBERRY CT",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450407821",
            "telephone_number": "513-770-0787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "BRITTANY",
        "middle_name": "ELISE",
        "name_prefix": "Ms.",
        "credential": "CNP-FAMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-14",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "NP-17662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "COA.17662-NP",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "blong517725@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "101 E Alex Bell Rd Ste 190",
            "city": "Centerville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454592752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• David Fluker
• FM Family Care LLC
• For Eyes of Cincinnati
• Zachary Keaton Ford
• Roy E Fouch, PH.D., LPCC
• Kristin Fox
• Maria A Fox, OD
• Robert Blair Fox, DDS
• Kelly France, OTR/L
• Michael Frankart, DMD

• Family Nurse Practitioner in Mason, OH
• Providers in Mason, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.