Individual provider Active NPI

Valerie C Fouts-Fowler

  • Pediatrics Physician
  • Westlake, OH
National Provider Identifier
1659515500
Registry record updated Oct 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
34-010675 Issued in OH
Practice address
2001 Crocker Rd Ste 600
Westlake, OH 44145-6972
Phone
(440) 871-5100
Fax
(440) 871-5610
NPI assigned
Apr 22, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pediatrics Physician 208000000X 34-010675 OH Primary

Addresses

Primary practice location

2001 Crocker Rd Ste 600
Westlake, OH 44145-6972

Mailing address

20800 Harvard Rd
2ND FLR
Highland Hills, OH 44122-7251

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

State licenses

LicenseStateTypeSpecialty
34-010675OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Everkind Pediatrics Pediatrics Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: vfoutsfowler37690@ehrdirect.uhhospitals.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1240358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476057600000",
    "number": "1659515500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20800 HARVARD RD",
            "address_2": "2ND FLR",
            "city": "HIGHLAND HILLS",
            "state": "OH",
            "postal_code": "441227251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 CROCKER RD STE 600",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441456972",
            "telephone_number": "440-871-5100",
            "fax_number": "440-871-5610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOUTS-FOWLER",
        "first_name": "VALERIE",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-22",
        "last_updated": "2016-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "34-010675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake, OH

Sources for this page

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