Children1St

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

EDSP 71846 Issued in KY

Legal business name

CHILDREN1ST

Practice address

104 Holiday Court
Elizabethtown, KY 42701-8809

Phone

(270) 300-2044

Fax

(270) 360-3271

NPI assigned

May 17, 2016

Last updated

May 17, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Tracey Lynne Fowl, MASTERS SPECIAL EDNPI 1023279189

Title

Developmental Interventionist

Phone

(270) 300-2044

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tracey L Fowl, MASTERS IN SPED

  • Developmental Therapist
  • Elizabethtown, KY
  • NPI 1023279189
  NPD (past) Authorized official

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

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463443200000",
    "number": "1639526940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 HOLIDAY CT",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427016490",
            "telephone_number": "270-300-2044",
            "fax_number": "270-360-3271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 HOLIDAY COURT",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427018809",
            "telephone_number": "270-300-2044",
            "fax_number": "270-360-3271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN1ST",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-17",
        "last_updated": "2016-05-17",
        "status": "A",
        "authorized_official_last_name": "FOWL",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "DEVELOPMENTAL INTERVENTIONIST",
        "authorized_official_telephone_number": "270-300-2044",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MASTERS SPECIAL ED"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "KY",
            "license": "EDSP 71846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deanna Rose Chesser, CSW
• Jason Cheung
• Katie Chheang
• Amber Michelle Childers, APSS
• Kimberly Ann Childers, PT
• Chiropractic Health Center of Elizabethtown PLLC (Bluegrass Chiro Elizabethtown)
• Chris Nichols Dental PLLC (Harvey and Nichols Family Dentistry)
• Paul H Christensen, MD
• Diana Christopher, RN
• Erik Trygve Christopherson

• Point of Service in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Point of Service in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2016; 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.