Brittany Lee Fowler

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86109958 Issued in CA

Practice address

400 Mobil Ave Ste D9
Camarillo, CA 93010-6376

Phone

(805) 738-5700

NPI assigned

Nov 13, 2020

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

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

360 Nutrition Consulting LLCGroup PAC ID 8921347600, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• 360 Nutrition Consulting Inc

  • Registered Dietitian
  • Camarillo, CA
  • NPI 1033629175

  Dietitian, Registered

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1605225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1861094880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "579 PLATEAU CT",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930102156",
            "telephone_number": "818-854-0420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MOBIL AVE STE D9",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930106376",
            "telephone_number": "805-738-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "BRITTANY",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-13",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "86109958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kelsea@360nutritionconsulting.com",
            "affiliation": "N",
            "address_1": "400 Mobil Ave Ste D9",
            "city": "Camarillo",
            "state": "CA",
            "country_code": "US",
            "postal_code": "930106376",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kelsea@360nutritionconsulting.com",
            "affiliation": "N",
            "address_1": "400 Mobil Ave Ste D9",
            "city": "Camarillo",
            "state": "CA",
            "country_code": "US",
            "postal_code": "930106376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alexis Nicole Forrey, LMFT, APCC
• Laura E. Forsyth, PH.D.
• Forte RX Pharmacy
• Hany C Fouad, M.D.
• Aidan Fowler, AA
• Mackenzie Fox
• Edgar Fraire Miranda
• Daniel Fraire
• Elsa Fraire
• John Timothy Francis

• Registered Dietitian in Camarillo, CA
• Providers in Camarillo, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.