Individual provider Active NPI

Carol Jean Stowell, FNP

  • Family Nurse Practitioner
  • Murray, UT
National Provider Identifier
1376797761
Registry record updated Feb 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
216802-4405 Issued in UT
Practice address
677 W 5300 S
Murray, UT 84123-5671
Phone
(801) 327-8700
Fax
(801) 290-2847
NPI assigned
Nov 11, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 216802-4405 UT Primary

Addresses

Primary practice location

677 W 5300 S
Murray, UT 84123-5671

Mailing address

677 W 5300 S
Murray, UT 84123-5671
Phone (801) 327-8700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100611000504 UT Practitioner - Nurse Practitioner 5991835233 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
American Wellness & Rehab Clinic LLC CurrentSince Jun 17, 2013 Accepting new patients
Comprehensive Medical Services Jordan Health and Wellness Center, Inc PastSince Jun 17, 2013 Accepting new patients

Locations

677 W 5300 S
Salt Lake City, UT 84123
Phone (801) 327-8700

Organizations & group practices 2

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": "1226361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424131200000",
    "number": "1376797761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "677 W 5300 S",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841235671",
            "telephone_number": "801-327-8700",
            "fax_number": "801-290-2847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 W 5300 S",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841235671",
            "telephone_number": "801-327-8700",
            "fax_number": "801-290-2847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOWELL",
        "first_name": "CAROL",
        "middle_name": "JEAN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-11",
        "last_updated": "2015-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "216802-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

Verify at the official NPI Registry.