Madre Lynnelle Fowler-McDonald

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

HC3534 Issued in NC

Practice address

615 E Lawson St
Durham, NC 27701-4533

Phone

(919) 604-3734

Fax

(616) 620-0671

NPI assigned

Jan 17, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• God Did It Realty Inc

  • Home Health Agency
  • Durham, NC
  • NPI 1225181019
  NPD (past) Authorized official

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1689726838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11091",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277030091",
            "telephone_number": "919-604-3734",
            "fax_number": "919-620-0671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 E LAWSON ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277014533",
            "telephone_number": "919-604-3734",
            "fax_number": "616-620-0671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER-MCDONALD",
        "first_name": "MADRE",
        "middle_name": "LYNNELLE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "NC",
            "license": "HC3534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601596",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Four Oaks Home Care Services LLC Part 2
• Megan Foreman Foureman, CRNA
• Catherine Suitt Fournier, FNP-C
• Danielle Ashley Foushee, LMBT, CWC
• Vashonda Ann Foust-Brown
• Kristen Grace Fowler
• Matthew Aaron Fowler, PHARMD
• Sarah Fowler, OD
• Vance Fowler, M.D.
• Walter Earle Fowler, MD, PHD

• Nurse's Aide in Durham, NC
• Providers in Durham, NC by specialty
• Nurse's Aide in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.