Active NPI
Tammie M Fowler
- Non-emergency Medical Transport (VAN)
- Fort Worth, TX
National Provider Identifier
1750053575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Practice address
- 2520 Ridgmar Blvd
Fort Worth, TX 76116 - Phone
- (414) 204-3616
- NPI assigned
- Sep 30, 2021
- Last updated
- Jun 26, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Primary | ||
| Private Vehicle | 347C00000X | |||
| Contractor | 171W00000X | |||
| Driver | 172A00000X | |||
| Respiratory/Developmental/Rehabilitative Specialist/Technologist | 225500000X |
Addresses
Primary practice location
2520 Ridgmar Blvd
Fort Worth, TX 76116
Mailing address
PO Box 113191
Carrollton, TX 75011-3191
Phone (469) 520-1699
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Corencia Diann & Associates | Contractor | Current | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Contractor
- Franklin, WI
- NPI 1003596503
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687737600000",
"number": "1750053575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 113191",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750113191",
"telephone_number": "469-520-1699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2520 RIDGMAR BLVD",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "76116",
"telephone_number": "414-204-3616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOWLER",
"first_name": "TAMMIE",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-30",
"last_updated": "2023-06-26",
"certification_date": "2023-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": null,
"license": null,
"primary": false
},
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": null,
"license": null,
"primary": false
},
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": null,
"license": null,
"primary": false
},
{
"code": "225500000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.