Stephanie Michelle Dowdy
Individual provider Active NPI Oncology Pharmacist · Humboldt, TN
NPI 1477052660 · NPPES record last updated Feb 2, 2018
Key facts
- NPI
- 1477052660
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Oncology Pharmacist 1835X0200X
- License
- 18191 (TN)
- Practice address
- 3440 Carriage LN
Humboldt, TN 38343-2152 - Phone
- (731) 234-1367
- Fax
- (731) 234-1367
- NPI assigned
- Feb 2, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18191 | TN | MD | Oncology Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oncology Pharmacist | 1835X0200X | 18191 | TN | Yes |
Addresses
Primary practice location
3440 Carriage LN
Humboldt, TN 38343-2152
Mailing address
3440 Carriage LN
Humboldt, TN 38343-2152
Phone (731) 234-1367
NPI Registry JSON
{
"created_epoch": "1517529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517529600000",
"number": "1477052660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3440 CARRIAGE LN",
"city": "HUMBOLDT",
"state": "TN",
"postal_code": "383432152",
"telephone_number": "731-234-1367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3440 CARRIAGE LN",
"city": "HUMBOLDT",
"state": "TN",
"postal_code": "383432152",
"telephone_number": "731-234-1367",
"fax_number": "731-234-1367"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOWDY",
"first_name": "STEPHANIE",
"middle_name": "MICHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-02",
"last_updated": "2018-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "1835X0200X",
"taxonomy_group": "",
"desc": "Pharmacist, Oncology",
"state": "TN",
"license": "18191",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 2, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.