NPIMap

Organization Active NPI

Jenifer Fowler

  • Pediatric Skilled Nursing Facility
  • Mount Vernon, OH
National Provider Identifier
1518105931
Registry record updated Jan 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X
License
122172 Issued in OH
Legal business name
JENIFER FOWLER
Practice address
905 N Mulberry St
Mount Vernon, OH 43050-1662
Phone
(740) 507-4914
NPI assigned
Jan 22, 2009
Last updated
Jan 22, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2009

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

Authorized official

Name
Miss Jenifer Fowler I
Title
LPN
Phone
(740) 507-4914

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Skilled Nursing Facility 3140N1450X 122172 OH Primary

Addresses

Primary practice location

905 N Mulberry St
Mount Vernon, OH 43050-1662

Mailing address

905 N Mulberry St
Mount Vernon, OH 43050-1662
Phone (740) 507-4914

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1232582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232582400000",
    "number": "1518105931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 N MULBERRY ST",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430501662",
            "telephone_number": "740-507-4914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 N MULBERRY ST",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430501662",
            "telephone_number": "740-507-4914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENIFER FOWLER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-22",
        "last_updated": "2009-01-22",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "JENIFER",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "740-507-4914",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_name_suffix": "I"
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "OH",
            "license": "122172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.