Heather Fowler, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LD.7354 Issued in OH

Practice address

4665 Renworth Ave NE
Canton, OH 44714-1194

Phone

(419) 610-6500

Fax

(419) 423-5305

NPI assigned

Jan 14, 2015

Last updated

Dec 13, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Heather Rodman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1421193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544659200000",
    "number": "1811386881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4665 RENWORTH AVE NE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447141194",
            "telephone_number": "419-610-6500",
            "fax_number": "419-423-5305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4665 RENWORTH AVE NE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447141194",
            "telephone_number": "419-610-6500",
            "fax_number": "419-423-5305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 S Main St",
            "address_purpose": "LOCATION",
            "city": "Findlay",
            "state": "OH",
            "postal_code": "458401214",
            "country_code": "US",
            "telephone_number": "419-423-4500",
            "fax_number": "419-423-5305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "HEATHER",
        "credential": "RD, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-14",
        "last_updated": "2018-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "LD.7354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "RODMAN",
            "credential": "RD, LD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shannon Michelle Fotheringham
• Jack Fountain III
• Barbara Ann Fouse
• Cassandra Fout
• Amanda Fowler, RBT
• Jimmy Toney Fowler
• Monica Lynn Fowler, PHARMD
• Jaime L Fox, CNP
• Jennifer A Fox
• Monte E Fox, D.O.

• Registered Dietitian in Canton, OH
• Providers in Canton, OH by specialty
• Registered Dietitian in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2018; 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.