Active NPI
Kristi Jean Fowler, LMFT
- Marriage & Family Therapist
- Twin Falls, ID
National Provider Identifier
1447384557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT-3585
- Practice address
- 140 River Vista PL
Twin Falls, ID 83301-3056 - Phone
- (208) 732-0405
- Fax
- (208) 732-0407
- NPI assigned
- Mar 14, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LMFT-3585 | ID | Primary |
| Marriage & Family Therapist | 106H00000X | MFC 37523 | CA |
Addresses
Primary practice location
140 River Vista PL
Twin Falls, ID 83301-3056
Mailing address
1166 Eastridge CT
Twin Falls, ID 83301-7964
Phone (208) 731-0558
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11653580 | Other | ID | CAQH |
| 000010155785 | Other | ID | REGENCE BLUE SHIELD |
| 2349596 | Other | ID | CIGNA |
| 000007224 | Other | ID | UNITED BEHAVIORAL HEALTH |
| Q7411 | Other | ID | BLUE CROSS OF IDAHO |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC 37523 | CA | MD | Marriage & Family Therapist |
| LMFT-3585 | ID | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265846400000",
"number": "1447384557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1166 EASTRIDGE CT",
"city": "TWIN FALLS",
"state": "ID",
"postal_code": "833017964",
"telephone_number": "208-731-0558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 RIVER VISTA PL",
"city": "TWIN FALLS",
"state": "ID",
"postal_code": "833013056",
"telephone_number": "208-732-0405",
"fax_number": "208-732-0407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOWLER",
"first_name": "KRISTI",
"middle_name": "JEAN",
"name_prefix": "Mrs.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-14",
"last_updated": "2010-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "ID",
"license": "LMFT-3585",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC 37523",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11653580",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD",
"identifier": "000010155785",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2349596",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL HEALTH",
"identifier": "000007224",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF IDAHO",
"identifier": "Q7411",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}Other providers in Twin Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.