Active NPI
Andrea Christine Fowler, B.A,
- Technician
- Mesa, AZ
National Provider Identifier
1649421991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Technician
- Practice address
- 4250 E Florian Ave
Suite 1
Mesa, AZ 85206-2797 - Phone
- (480) 969-3800
- Fax
- (480) 222-3221
- NPI assigned
- Oct 6, 2008
- Last updated
- Oct 6, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Technician | 374700000X | Primary |
Addresses
Primary practice location
4250 E Florian Ave
Suite 1
Mesa, AZ 85206-2797
Mailing address
924 N Country Club Dr
Mesa, AZ 85201-4108
Phone (480) 969-3800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223251200000",
"number": "1649421991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "924 N COUNTRY CLUB DR",
"city": "MESA",
"state": "AZ",
"postal_code": "852014108",
"telephone_number": "480-969-3800",
"fax_number": "480-222-3221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4250 E FLORIAN AVE",
"address_2": "SUITE 1",
"city": "MESA",
"state": "AZ",
"postal_code": "852062797",
"telephone_number": "480-969-3800",
"fax_number": "480-222-3221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOWLER",
"first_name": "ANDREA",
"middle_name": "CHRISTINE",
"name_prefix": "Miss",
"credential": "B.A,",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-06",
"last_updated": "2008-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "374700000X",
"taxonomy_group": "",
"desc": "Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
- Four Directions LLC
- Four Peaks Anesthesia, LLC
- Four Peaks Therapy
- Four Star Home Health and Hospice Care, Inc. (Four Star Hospice Care)
- Philip Gregory Foutch, D.O.
- Bailey Le Shea Fowler
- Michelle Lyn Penfield Fowler, MA, LAC
- Richard F Fowler, MD
- Sean Cody Fowler, MACC, DO
- Fox Dermatology and Aesthetics LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.