Active NPI
Jody Lynn Fowers, FNP
- Family Nurse Practitioner
- Layton, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 263957-4405
- Practice address
- 2950 N Church St Ste 200
Layton, UT 84040-6590 - Phone
- (801) 771-7700
- Fax
- (801) 771-7799
- NPI assigned
- May 23, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 263957-4405 | UT | Primary |
Addresses
Primary practice location
2950 N Church St Ste 200
Layton, UT 84040-6590
Mailing address
PO Box 281221
Atlanta, GA 30384-1221
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992915052 | Medicaid | UT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4650 Harrison Blvd
Ogden, UT 84403-4303
Phone (801) 475-3010
Hospital & facility affiliations
- Ogden Regional Medical Center
- Holy Cross Hospital-Davis
- Intermountain Health McKay-Dee Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 263957-4405 | UT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ogden Clinic PC | Current | Accepting new patients | |
| Ogden Clinic Specialty Services LLC | Current | Accepting new patients | |
| Gynecology Specialists of Utah, LLC | Past | Accepting new patients |
Locations
2950 N Church St
Ste 200
Layton, UT 84040
Phone (801) 546-9441
2380 N 400 E
Ste A
North Logan, UT 84341
Phone (435) 713-1300
4650 Harrison Blvd
Ogden, UT 84403
Phone (801) 475-3481
5495 S 500 E
Ste 310
Ogden, UT 84405
Phone (801) 475-3100
5475 S 500 E
South Ogden, UT 84405
Phone (801) 479-2111
1491 E Ridgeline Dr
South Ogden, UT 84405
Phone (317) 790-7550
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JJJGBA
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Ogden, UT
- NPI 1578550083
-
- Sports Medicine (Family Medicine) Physician
- Ogden, UT
- NPI 1114203668
-
- Gynecology Physician
- Ogden, UT
- NPI 1902197106
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Layton, UT
- NPI 1346945839
-
- General Acute Care Hospital
- Ogden, UT
- NPI 1720031636
-
- General Acute Care Hospital
- Ogden, UT
- NPI 1194749580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606262400000",
"number": "1992915052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 281221",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303841221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2950 N CHURCH ST STE 200",
"city": "LAYTON",
"state": "UT",
"postal_code": "840406590",
"telephone_number": "801-771-7700",
"fax_number": "801-771-7799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOWERS",
"first_name": "JODY",
"middle_name": "LYNN",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-23",
"last_updated": "2020-11-25",
"certification_date": "2020-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "UT",
"license": "263957-4405",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1992915052",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Layton, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.