NPIMap

Individual provider Active NPI

Doreen V Fowlkes, MSN, APRN, FNP-C

  • Primary Care Nurse Practitioner
  • Tappahannock, VA
National Provider Identifier
1801673124
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
0024187832 Issued in VA
Practice address
300 Mt Clement Park
Tappahannock, VA 22560-5098
Phone
(804) 443-6063
NPI assigned
Sep 11, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 0024187832 VA Primary
Family Nurse Practitioner 363LF0000X 0024187832 VA

Addresses

Primary practice location

300 Mt Clement Park
Tappahannock, VA 22560-5098

Mailing address

300 Mt Clement Park Ofc Park
Tappahannock, VA 22560-5098

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240126000480 VA Practitioner - Nurse Practitioner 7517310568 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MCV Associated Physicians 1,779 clinicians

Practice addresses (Care Compare)

300 Mt Clement Park
Tappahannock, VA 22560-5098

401 N 11TH St
Richmond, VA 23219-1914
Phone (804) 828-8737

Hospital & facility affiliations

  • Brookside Home Health, an Amedisys Company Home health agency, Williamsburg, VA, CCN 497415
  • Riverside Home Health Home health agency, Warsaw, VA, CCN 497025
  • Vcu Health Tappahannock Hospital Hospital, Tappahannock, VA, CCN 490084
  • Medical College of Virginia Hospitals Hospital, Richmond, VA, CCN 490032
  • Bon Secours St Marys Hospital Hospital, Richmond, VA, CCN 490059

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024187832VAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MCV Associated Physicians CurrentSince Nov 26, 2023 Accepting new patients
Riverside Physician Services Inc PastSince Sep 17, 2023 Accepting new patients

Locations

401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409

300 Mt Clement Park
Tappahannock, VA 22560
Phone (804) 443-6063

300 Mt Clement Park
Ofc Park
Tappahannock, VA 22560

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1801673124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MT CLEMENT PARK OFC PARK",
            "city": "TAPPAHANNOCK",
            "state": "VA",
            "postal_code": "225605098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MT CLEMENT PARK",
            "city": "TAPPAHANNOCK",
            "state": "VA",
            "postal_code": "225605098",
            "telephone_number": "804-443-6063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLKES",
        "first_name": "DOREEN",
        "middle_name": "V",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-11",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "VA",
            "license": "0024187832",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024187832",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tappahannock, VA

Sources for this page

Verify at the official NPI Registry.