Individual provider Active NPI

Cheri Fugate-Fowler

  • Hearing Instrument Specialist
  • Deerfield Beach, FL
National Provider Identifier
1760868764
Registry record updated Aug 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
AS2512 Issued in FL
Practice address
600 Fairway Dr
Suite 100
Deerfield Beach, FL 33441-1811
Phone
(954) 354-3738
Fax
(954) 354-0171
NPI assigned
Aug 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X AS2512 FL Primary

Addresses

Primary practice location

600 Fairway Dr
Suite 100
Deerfield Beach, FL 33441-1811

Mailing address

501 Village Green Pkwy
Ste 16
Bradenton, FL 34209-3404
Phone (941) 795-2811

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
AS2512FLMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Kellys Hear Care Centers Past Accepting new patients
Doctors Hearing Center LLC Lxi Past Accepting new patients

Organizations & group practices 2

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": "1438560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438560000000",
    "number": "1760868764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 VILLAGE GREEN PKWY",
            "address_2": "STE 16",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342093404",
            "telephone_number": "941-795-2811",
            "fax_number": "941-795-4889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 FAIRWAY DR",
            "address_2": "SUITE 100",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334411811",
            "telephone_number": "954-354-3738",
            "fax_number": "954-354-0171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUGATE-FOWLER",
        "first_name": "CHERI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-03",
        "last_updated": "2015-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "FL",
            "license": "AS2512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; 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.