Susan Morrill Fowlkes, MS, RD, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LDN0000000101 Issued in TN

Practice address

140 Dameron Ave
Knoxville, TN 37917-6413

Phone

(865) 215-5172

Fax

(865) 215-5295

NPI assigned

Aug 10, 2007

Last updated

Aug 10, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186704000000",
    "number": "1598957847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1432 LAKESHIRE DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379225627",
            "telephone_number": "865-966-6495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 DAMERON AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379176413",
            "telephone_number": "865-215-5172",
            "fax_number": "865-215-5295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLKES",
        "first_name": "SUSAN",
        "middle_name": "MORRILL",
        "name_prefix": "Ms.",
        "credential": "MS, RD, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-10",
        "last_updated": "2007-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TN",
            "license": "LDN0000000101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casey Fowler
• Daniel Peter Fowler, MD
• Kyra Ashley Fowler, FNP
• Stephen Matthew Fowler, DMD
• Jenna Lee Fowlkes, PA-C
• Fox Medical Clinic
• Brianna Fox, RBT
• Daniel R Fox, MD
• Danielle Jessica Fox, RDA
• Debra Coatney Fox, MS, RD, LDN, CDE

• Registered Dietitian in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Registered Dietitian in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2007; 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.