Tammy S Fowler, FNP
Individual provider Active NPI Family Nurse Practitioner · Sikeston, MO
NPI 1811086291 · NPPES record last updated Apr 1, 2014
Key facts
- NPI
- 1811086291
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 086351 (MO)
- Practice address
- 1008 N Main St
Sikeston, MO 63801-5044 - Phone
- (573) 472-6001
- Fax
- (573) 472-6006
- NPI assigned
- Oct 12, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southeast Health Center of Stoddard County LLC
Practice addresses (Care Compare)
1003
25 Southeast Health Center of Stoddard
Bloomfield, MO 63825
Phone (573) 568-3686
Hospital & facility affiliations
- Mercy Hospital Stoddard
- Mercy Hospital Southeast
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050328000015 | MO | Practitioner - Nurse Practitioner | 0840246419 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Health Center of Stoddard County, LLC | Current |
Accepting new patients | |
| Southeast Health Center of Stoddard County LLC | Current |
Accepting new patients | |
| Southeast Health Center of Stoddard County, LLC | Current | Accepting new patients |
Locations
1200 N One Mile Rd
Dexter, MO 63841
Phone (573) 614-1900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 086351 | MO | Yes |
Addresses
Primary practice location
1008 N Main St
Sikeston, MO 63801-5044
Mailing address
1008 N Main St
Sikeston, MO 63801-5044
Phone (573) 472-6001
Other providers in Sikeston, MO
- Kellee Marie Foote
- Lisa Anne Foote
- Alexa Fornkohl
- Abigail Guirnela Fortich
- Miranda Kaylen Foshee
- Tristan Ross Peregrino Fowler
- Cara Rene Frazier
- Rylie Ashlyn Frizzell
- Boris Frohman
- Lydia St. Clair Frye
All providers in Sikeston, MO · Family Nurse Practitioner in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.