Kristian Fowler

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

218 W Cypress St
Altus, OK 73521-3704

Phone

(580) 481-8760

NPI assigned

Jan 31, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• The Amethyst House, Inc

  • Children's Substance Abuse Rehabilitation Facility
  • Altus, OK
  • NPI 1083349203
  NPD

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

{
    "created_epoch": "1706659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1952164253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 W CYPRESS ST",
            "city": "ALTUS",
            "state": "OK",
            "postal_code": "735213704",
            "telephone_number": "580-481-8760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 W CYPRESS ST",
            "city": "ALTUS",
            "state": "OK",
            "postal_code": "735213704",
            "telephone_number": "580-481-8760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "KRISTIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-31",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Payton Fogg, MS, CCC-SLP
• Christine L Fontinel, ARNP
• Forster DPC LLC
• Tiffany J Forster, APRN-CNP
• Kiona Marie Fowler, LPC CANDIDATE
• Amber Frazier
• Amanda Fry
• Kristi Nicole Fry, APRN
• Fusion Home Health, LLC
• John Ryan Gallagher, MD

• Peer Specialist in Altus, OK
• Providers in Altus, OK by specialty
• Peer Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.