Active NPI
Nicole Leigh Fowler, FNP
- Family Nurse Practitioner
- Raleigh, NC
National Provider Identifier
1942823919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- FOWL-V0Y11
- Practice address
- 1011 Rock Quarry Rd
Raleigh, NC 27610-3825 - Phone
- (919) 833-3111
- NPI assigned
- May 25, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | FOWL-V0Y11 | NC | Primary |
Addresses
Primary practice location
1011 Rock Quarry Rd
Raleigh, NC 27610-3825
Mailing address
824 Kings Cross Way
Raleigh, NC 27615-1487
Phone (919) 696-6926
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| FOWL-V0Y11 | NC | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632787200000",
"number": "1942823919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "824 KINGS CROSS WAY",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276151487",
"telephone_number": "919-696-6926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 ROCK QUARRY RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276103825",
"telephone_number": "919-833-3111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOWLER",
"first_name": "NICOLE",
"middle_name": "LEIGH",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-25",
"last_updated": "2021-09-28",
"certification_date": "2021-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "FOWL-V0Y11",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.