Individual provider Active NPI

Marianne Greer Fowler, APRN, FNP-C

  • Family Nurse Practitioner
  • Union City, TN
National Provider Identifier
1437518180
Registry record updated Apr 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
20901 Issued in TN
Practice address
1720 E. Reelfoot Ave
Suite 103
Union City, TN 38261-6048
Phone
(731) 885-6600
Fax
(731) 885-9239
NPI assigned
Feb 22, 2016
Last updated
Apr 14, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2017

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 20901 TN Primary

Addresses

Primary practice location

1720 E. Reelfoot Ave
Suite 103
Union City, TN 38261-6048

Mailing address

1720 E Reelfoot Ave
Suite 103
Union City, TN 38261-6047
Phone (731) 885-6600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20160414000122 TN Practitioner - Nurse Practitioner 9739352238 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paula Vassar IncGroup PAC ID 1153416284, 2 clinicians

Practice addresses (Care Compare)

1720 E Reelfoot Ave
Suite 103
Union City, TN 38261-6048
Phone (731) 885-6600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20901TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Paula Vassar Inc Family CurrentSince Feb 28, 2016 Accepting new patients

Locations

1117 S Miles Ave
Ste 4
Union City, TN 38261
Phone (731) 507-0707

1720 E Reelfoot Ave
Ste 103
Union City, TN 38261
Phone (731) 885-6600

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1456099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492128000000",
    "number": "1437518180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 E REELFOOT AVE",
            "address_2": "SUITE 103",
            "city": "UNION CITY",
            "state": "TN",
            "postal_code": "382616047",
            "telephone_number": "731-885-6600",
            "fax_number": "731-885-9239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 E. REELFOOT AVE",
            "address_2": "SUITE 103",
            "city": "UNION CITY",
            "state": "TN",
            "postal_code": "382616048",
            "telephone_number": "731-885-6600",
            "fax_number": "731-885-9239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "MARIANNE",
        "middle_name": "GREER",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-22",
        "last_updated": "2017-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "20901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, TN

Sources for this page

Verify at the official NPI Registry.