Active NPI
Ashley Rachelle Fowler, MCD, CCC-SLP
- Speech-Language Pathologist
- Bartlett, TN
National Provider Identifier
1942367917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP0000004043
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 150401721 | Medicaid | AR | |
| 260078 | Other | MEDICARE PROVIDER NUMBER ISSUED IN 2003 | |
| SP 4043 | Other | TN | BOARD OF COMMUNICATION DISORDERS AND SCIENCES |
| Q005590 | Other | TN | TENNESSEE TENNCARE/MEDICAID |
| 12093824 | Other | AMERCIAN 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2106 | AR | MD | Speech-Language Pathologist |
| SP0000004043 | TN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy Success, LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Therapy Success, LLC | Speech-Language Pathologist | Past | 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.
-
- Speech-Language Pathologist
- Bartlett, TN
- NPI 1629328562
-
- Speech-Language Pathologist
- Bartlett, TN
- NPI 1578974598
-
dba Ozarks Healthcare
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
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.