Tammy S Fowler, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

086351 Issued in MO

Practice address

1008 N Main St
Sikeston, MO 63801-5044

Phone

(573) 472-6001

Fax

(573) 472-6006

NPI assigned

Oct 12, 2006

Last updated

Apr 1, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

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 LLCGroup PAC ID 7315192515, 39 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Hospital Stoddard Hospital, Dexter, MO, CCN 260160
• Mercy Hospital Southeast Hospital, Cape Girardeau, MO, CCN 260110

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Southeast Health Center of Stoddard County, LLC

  dba Mercy Hospital Stoddard

  • Rural Health Clinic/Center
  • Dexter, MO
  • NPI 1790828812
  Medicare reassignment Care Compare group NPD
• Southeast Health Center of Stoddard County LLC

  dba Mercy Hospital Stoddard

  • Family Medicine Physician
  • Dexter, MO
  • NPI 1477997567
  NPD
• Southeast Health Center of Stoddard County, LLC

  dba Mercy Hospital Stoddard

  • Rural Health Clinic/Center
  • Dexter, MO
  • NPI 1457660045
  NPD

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

• Southeast Health Center of Stoddard County, LLC

  dba Mercy Hospital Stoddard

  • General Acute Care Hospital
  • Dexter, MO
  • NPI 1801990825
  Care Compare affiliation
• Southeast Hospital

  dba Mercy Hospital Southeast

  • General Acute Care Hospital
  • Cape Girardeau, MO
  • NPI 1811006661
  Care Compare affiliation

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396310400000",
    "number": "1811086291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 N MAIN ST",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638015044",
            "telephone_number": "573-472-6001",
            "fax_number": "573-472-6006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 N MAIN ST",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638015044",
            "telephone_number": "573-472-6001",
            "fax_number": "573-472-6006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "TAMMY",
        "middle_name": "S",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2014-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "086351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kellee Marie Foote, LCSW
• Lisa Anne Foote, MS OTR/L
• Alexa Fornkohl
• Abigail Guirnela Fortich, RPT
• Miranda Kaylen Foshee, PMHNP-BC
• Tristan Ross Peregrino Fowler, DO
• Cara Rene Frazier, COTA/L
• Rylie Ashlyn Frizzell, COTA/L
• Boris Frohman, MD
• Lydia St. Clair Frye, LPC

• Family Nurse Practitioner in Sikeston, MO
• Providers in Sikeston, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.