Christina Marie Fowlkes, RN, IBCLC, DOULA

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

R247210 Issued in MD

Practice address

25445 Point Lookout Road
Leonardtown, MD 20650-2065

Phone

(865) 556-9074

NPI assigned

Mar 13, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708646400000",
    "number": "1962103499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 450",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206500450",
            "telephone_number": "865-556-9074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25445 POINT LOOKOUT ROAD",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206502065",
            "telephone_number": "865-556-9074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLKES",
        "first_name": "CHRISTINA",
        "middle_name": "MARIE",
        "credential": "RN, IBCLC, DOULA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-13",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "MD",
            "license": "R247210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren E. Fisher, PA-C
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• Jasmine Flewellen, LCPC
• Elizabeth G. Forrest, M.D.
• Ashley Fox, M.A., C.A.S, NCSP
• Gustavo Jose Franco Vasquez, M.D
• Frank L. Kriger MD PHD PA
• Elizabeth Ann Friesen, DNP, CRNP
• Kelly Fritz, M.D.

• Lactation Consultant (Registered Nurse) in Leonardtown, MD
• Providers in Leonardtown, MD by specialty
• Lactation Consultant (Registered Nurse) in Maryland

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