Individual provider Active NPI

Rachel S Fowler, APRN

  • Family Nurse Practitioner
  • Georgetown, TX
National Provider Identifier
1780396705
Registry record updated Feb 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1048327 Issued in TX
Practice address
2000 Scenic Dr
Georgetown, TX 78626-7726
Phone
(512) 942-4104
NPI assigned
Dec 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1048327 TX
Family Nurse Practitioner 363LF0000X 1048327 TX Primary

Addresses

Primary practice location

2000 Scenic Dr
Georgetown, TX 78626-7726

Mailing address

1500 S Lamar Blvd Apt 2029
Austin, TX 78704-2945
Phone (651) 755-7341

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230130000453 TX Practitioner - Nurse Practitioner 7810368834 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lakeway Medical Clinic LLCGroup PAC ID 3274055793, 3 clinicians

Practice addresses (Care Compare)

1008 Ranch Rd 620
Suite 101
Lakeway, TX 78734-5632
Phone (832) 810-2144

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1048327TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Longhorn Emergency Medical Associates PA Nurse Practitioner CurrentSince Feb 1, 2023 Accepting new patients
Lakeway Medical Clinic, LLC CurrentSince Jan 27, 2025 Accepting new patients

Locations

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

2000 Scenic Dr
Georgetown, TX 78626
Phone (512) 863-2117

1008 Ranch Road 620 S
Lakeway, TX 78734
Phone (512) 263-9072

1008 Ranch Road 620 S
Ste 101
Lakeway, TX 78734
Phone (512) 615-5600

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

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": "1671580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675382400000",
    "number": "1780396705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S LAMAR BLVD APT 2029",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787042945",
            "telephone_number": "651-755-7341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 SCENIC DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786267726",
            "telephone_number": "512-942-4104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "RACHEL",
        "middle_name": "S",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-21",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1048327",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1048327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

Verify at the official NPI Registry.