Active NPI
Ryan Fowler
- Registered Dietitian
- Coopersburg, PA
National Provider Identifier
1366275422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 4404 Boulder Dr
Coopersburg, PA 18036-9140 - Phone
- (814) 915-1283
- NPI assigned
- Aug 23, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
4404 Boulder Dr
Coopersburg, PA 18036-9140
Mailing address
4404 Boulder Dr
Coopersburg, PA 18036-9140
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724716800000",
"number": "1366275422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4404 BOULDER DR",
"city": "COOPERSBURG",
"state": "PA",
"postal_code": "180369140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4404 BOULDER DR",
"city": "COOPERSBURG",
"state": "PA",
"postal_code": "180369140",
"telephone_number": "814-915-1283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOWLER",
"first_name": "RYAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-08-23",
"last_updated": "2024-08-27",
"certification_date": "2024-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coopersburg, PA
- Dr Douglas C Shoenberger, PC
- Dr Wechtler & Assoc , Inc. (Southern Lehigh Dental Arts)
- Nicole Anne Edinger, OTRL
- Evans Counseling Services, LLC (Evans Counseling Services)
- Heather Renee Evans, LCSW
- Lori Beth Frack, RDH
- Mark Frawley, D.C.
- Ganesh RX Inc (Coopersburg Community Pharmacy)
- Krista Lee Garbellano-Vergine, MS CCC-SLP
- Gettins, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.