Active NPI
Nicole Marie Cowart, CFM
- Mastectomy Fitter
- The Dalles, OR
National Provider Identifier
1760001648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mastectomy Fitter
- License
- CFM01332
- Practice address
- 500 Washington St
The Dalles, OR 97058-2217 - Phone
- (541) 370-2350
- NPI assigned
- Apr 10, 2020
- 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 |
|---|---|---|---|---|
| Mastectomy Fitter | 224900000X | CFM01332 | DE | Primary |
Addresses
Primary practice location
500 Washington St
The Dalles, OR 97058-2217
Mailing address
PO Box 746
The Dalles, OR 97058-0746
Phone (541) 370-5640
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
| License | State | Type | Specialty |
|---|---|---|---|
| CFM01332 | DE | MD | Mastectomy Fitter |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586476800000",
"number": "1760001648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 746",
"city": "THE DALLES",
"state": "OR",
"postal_code": "970580746",
"telephone_number": "541-370-5640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 WASHINGTON ST",
"city": "THE DALLES",
"state": "OR",
"postal_code": "970582217",
"telephone_number": "541-370-2350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COWART",
"first_name": "NICOLE",
"middle_name": "MARIE",
"credential": "CFM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-10",
"last_updated": "2020-04-10",
"certification_date": "2020-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "224900000X",
"taxonomy_group": "",
"desc": "Mastectomy Fitter",
"state": "DE",
"license": "CFM01332",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in The Dalles, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.