Individual provider Active NPI

Ashley Rachelle Fowler, MCD, CCC-SLP

  • Speech-Language Pathologist
  • Bartlett, TN
National Provider Identifier
1942367917
Registry record updated Jul 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP0000004043 Issued in TN
Practice address
5120 Foggy River LN
Bartlett, TN 38135-6261
Phone
(901) 596-2747
Fax
(901) 509-2704
NPI assigned
Jan 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2106 AR
Speech-Language Pathologist 235Z00000X SP0000004043 TN Primary

Addresses

Primary practice location

5120 Foggy River LN
Bartlett, TN 38135-6261

Mailing address

5120 Foggy River LN
Bartlett, TN 38135-6261
Phone (901) 596-2747

Other identifiers 5

IdentifierTypeStateIssuer
150401721MedicaidAR
260078OtherMEDICARE PROVIDER NUMBER ISSUED IN 2003
SP 4043OtherTNBOARD OF COMMUNICATION DISORDERS AND SCIENCES
Q005590OtherTNTENNESSEE TENNCARE/MEDICAID
12093824OtherAMERCIAN SPEECH-LANGUAGE HEARING ASSOCIATION (ASHA)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2106ARMDSpeech-Language Pathologist
SP0000004043TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Success, LLC Speech-Language Pathologist CurrentSince Sep 6, 2012 Accepting new patients
Therapy Success, LLC Speech-Language Pathologist PastSince Sep 6, 2012 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Organizations & group practices 3

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": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406073600000",
    "number": "1942367917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5120 FOGGY RIVER LN",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381356261",
            "telephone_number": "901-596-2747",
            "fax_number": "901-509-2704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5120 FOGGY RIVER LN",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381356261",
            "telephone_number": "901-596-2747",
            "fax_number": "901-509-2704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "ASHLEY",
        "middle_name": "RACHELLE",
        "name_prefix": "Ms.",
        "credential": "MCD, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2014-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "2106",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "SP0000004043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150401721",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER ISSUED IN 2003",
            "identifier": "260078",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF COMMUNICATION DISORDERS AND SCIENCES",
            "identifier": "SP 4043",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TENNESSEE TENNCARE/MEDICAID",
            "identifier": "Q005590",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERCIAN SPEECH-LANGUAGE HEARING ASSOCIATION (ASHA)",
            "identifier": "12093824",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlett, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2014; 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.