Active NPI
Kathleen M Fowler, D.C.
- Chiropractor
- Merrimac, MA
National Provider Identifier
1376541557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1493
- Practice address
- 5 E Main St
Ste 4
Merrimac, MA 01860-2005 - Phone
- (978) 346-4450
- Fax
- (978) 346-4334
- NPI assigned
- Jul 12, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1493 | MA | Primary |
Addresses
Primary practice location
5 E Main St
Ste 4
Merrimac, MA 01860-2005
Mailing address
5 E Main St
Ste 4
Merrimac, MA 01860-2005
Phone (978) 346-4450
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 44-00508 | Other | MA | UNITED HEALTH CARE |
| 72811 | Other | MA | TUFTS PROVIDER NUMBER |
| Y36022 | Other | MA | BC PROVIDER NUMBER |
| 110030385A | Medicaid | MA | |
| AA29332 | Other | MA | HARVARD PILGRIM PROV # |
| 562020 | Other | MA | AETNA USHC PROVIDER # |
| Y39270 | Other | MA | BC/BS GROUP NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060511000010 | MA | Practitioner - Chiropractic | 8224049846 | Practice locations: Merrimac, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5 E Main St
Merrimac, MA 01860-2005
Phone (978) 346-4450
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693872000000",
"number": "1376541557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 E MAIN ST",
"address_2": "STE 4",
"city": "MERRIMAC",
"state": "MA",
"postal_code": "018602005",
"telephone_number": "978-346-4450",
"fax_number": "978-346-4334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 E MAIN ST",
"address_2": "STE 4",
"city": "MERRIMAC",
"state": "MA",
"postal_code": "018602005",
"telephone_number": "978-346-4450",
"fax_number": "978-346-4334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOWLER",
"first_name": "KATHLEEN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-07-12",
"last_updated": "2023-09-05",
"certification_date": "2021-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MA",
"license": "1493",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "44-00508",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS PROVIDER NUMBER",
"identifier": "72811",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC PROVIDER NUMBER",
"identifier": "Y36022",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110030385A",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM PROV #",
"identifier": "AA29332",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA USHC PROVIDER #",
"identifier": "562020",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS GROUP NUMBER",
"identifier": "Y39270",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Merrimac, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.