Individual provider Active NPI

Gwen Fowler-Berken, MS, CCC-SLP

  • Speech-Language Pathologist
  • Franklin, NC
National Provider Identifier
1447546312
Registry record updated Mar 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
8653 Issued in NC
Practice address
310 Terrell Rd
Franklin, NC 28734
Phone
(828) 371-3940
Fax
(828) 369-7497
NPI assigned
Jun 20, 2011
Last updated
Mar 13, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 8653 NC Primary

Addresses

Primary practice location

310 Terrell Rd
Franklin, NC 28734

Mailing address

310 Terrell Rd
Franklin, NC 28734-8765
Phone (828) 371-3940

Other practice location 1

236 Cunningham Rd Ste 6
Franklin, NC 28734-7627
Phone (828) 332-7144

Other practice location 2

236 Cunningham Rd Ste 6
Franklin, NC 28734-7627
Phone (828) 332-7144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120329000667 NC Practitioner - Qualified Speech Language Pathologist 9931369873 Reassigns benefits to 1 organization
I20151026001467 GA Practitioner - Qualified Speech Language Pathologist 9931369873 Practice locations: Dillard, GA

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gwens Speech Therapy PCGroup PAC ID 7416201660, 2 clinicians

Practice addresses (Care Compare)

310 Terrell Rd
Franklin, NC 28734-8765
Phone (828) 371-3940

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Gwen's Speech Therapy PC Speech-Language Pathologist CurrentSince May 1, 2018 Accepting new patients

Locations

236 Cunningham Rd
Ste 6
Franklin, NC 28734
Phone (828) 332-7144

310 Terrell Rd
Franklin, NC 28734
Phone (828) 371-3940

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.

NPI Registry JSON

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

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552435200000",
    "number": "1447546312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 TERRELL RD",
            "city": "FRANKLIN",
            "state": "NC",
            "postal_code": "287348765",
            "telephone_number": "828-371-3940",
            "fax_number": "828-369-7497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 TERRELL RD",
            "city": "FRANKLIN",
            "state": "NC",
            "postal_code": "28734",
            "telephone_number": "828-371-3940",
            "fax_number": "828-369-7497"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "236 Cunningham Rd Ste 6",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "NC",
            "postal_code": "287347627",
            "country_code": "US",
            "telephone_number": "828-332-7144",
            "fax_number": "828-369-7497",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "236 Cunningham Rd Ste 6",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "NC",
            "postal_code": "287347627",
            "country_code": "US",
            "telephone_number": "828-332-7144",
            "fax_number": "828-369-7497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOWLER-BERKEN",
        "first_name": "GWEN",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-20",
        "last_updated": "2019-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "8653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2019; 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.

Verify at the official NPI Registry.