Individual provider Active NPI

Meredith Suzanne Fowler

  • Primary Care Nurse Practitioner
  • Black Mountain, NC
National Provider Identifier
1922778018
Registry record updated Sep 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
FOWL-40H8H Issued in NC
Practice address
10 Walker Cove Rd
Black Mountain, NC 28711-8715
Phone
(828) 545-4119
NPI assigned
Sep 20, 2021
Last updated
Sep 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X FOWL-40H8H NC Primary

Addresses

Primary practice location

10 Walker Cove Rd
Black Mountain, NC 28711-8715

Mailing address

10 Walker Cove Rd
Black Mountain, NC 28711-8715
Phone (828) 545-4119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20220121000243 NC Practitioner - Nurse Practitioner 3577955707 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
FOWL-40H8HNCMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergeortho PA CurrentSince Jan 17, 2022 Accepting new patients
Emergeortho PA CurrentSince Jan 17, 2022 Accepting new patients

Locations

2585 Hendersonville Rd
Arden, NC 28704
Phone (828) 687-2955

129 McDowell St
Asheville, NC 28801

799 Doctors Ct
Roxboro, NC 27573
Phone (336) 599-4079

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1632096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1922778018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 WALKER COVE RD",
            "city": "BLACK MOUNTAIN",
            "state": "NC",
            "postal_code": "287118715",
            "telephone_number": "828-545-4119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 WALKER COVE RD",
            "city": "BLACK MOUNTAIN",
            "state": "NC",
            "postal_code": "287118715",
            "telephone_number": "828-545-4119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "MEREDITH",
        "middle_name": "SUZANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-20",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NC",
            "license": "FOWL-40H8H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Black Mountain, NC

Sources for this page

Verify at the official NPI Registry.