DR. SHANNYN I FOWL (NPI# 1568750495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568750495 |
| Entity Type | Individual |
| Full Name | DR. SHANNYN I FOWL |
| Credential | N.D. |
| Practice Address |
5575 Lake Park Way Ste. 114 La Mesa CA 91942-1664 |
| Mailing Address |
Po Box 191114 San Diego CA 92159-1114 |
| Practice Telephone | 6197721164 |
| Practice Fax Number | 6194638986 |
| Mailing Telephone | 6197721164 |
| Mailing Fax Number | 6194638986 |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2012-03-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175F00000X | Naturopath | ND-451 | CA | Other Service Providers |
| Street Address |
5575 LAKE PARK WAY STE. 114 |
| City | LA MESA |
| State | CA |
| Zip Code | 91942-1664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255356580 | Elizabeth Donahue-marucheau | Social Worker | 5575 Lake Park Way, #114, La Mesa, CA 91942-1664 | 2006-07-13 |
| 1073998795 | Laurel Klotz | Marriage & Family Therapist | 5575 Lake Park Way, Ste. 114, La Mesa, CA 91942-1664 | 2015-07-23 |
| 1316207384 | Jamie Flechsig | Massage Therapist | 5575 Lake Park Way, Suite 114, La Mesa, CA 91942 | 2012-05-23 |
| 1346500444 | Lisa Sanders | Marriage & Family Therapist | 5575 Lake Park Way, Suite 100, La Mesa, CA 91942-1664 | 2012-05-22 |
| 1497034805 | Theodore E Friedman | Social Worker | 5575 Lake Park Way, Suite 100 Unit 1, La Mesa, CA 91942-1664 | 2011-08-16 |
| 1497985832 | Monika-maria Grace | Psychologist | 5575 Lake Park Way, Suite 100-6, La Mesa, CA 91942 | 2009-07-20 |
| 1841436623 | Phyllis Vokey Long | Marriage & Family Therapist | 5575 Lake Park Way, Suite 100, La Mesa, CA 91942-1664 | 2008-12-26 |
| 1427102185 | Janet P. Murphy | Psychologist | 5575 Lake Park Way, Ste. 114, La Mesa, CA 91942-1664 | 2007-01-22 |
| 1225118144 | Cynthia Jane Shipman I | Psychologist | 5575 Lake Park Way, 114, La Mesa, CA 91942-1664 | 2006-10-16 |
| 1336230689 | Excel Home Health | Home Health | 5575 Lake Park Way, Suite 220, La Mesa, CA 91942 | 2006-09-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902453723 | Nicole V Zappelli | Case Manager/Care Coordinator | 4990 William Ave., La Mesa, CA 91942 | 2019-08-26 |
| 1770059834 | Natalie Ngoc Nguyen | Physician Assistant | 5555 Grosmont Center Dr., La Mesa, CA 91942 | 2018-10-16 |
| 1194204297 | Courtney Pietsch | Nurse Practitioner | 8851 Health Center Circle, Suite #603, La Mesa, CA 91942 | 2018-08-09 |
| 1295214773 | Megan Gordon | Behavior Technician | 6116 Horton Dr, La Mesa, CA 91942 | 2018-08-07 |
| 1356836548 | Kimberly Denise Davis | Counselor | 3845 Avocado School Road, El Cajon, CA 91942 | 2018-06-29 |
| 1366932113 | Melanie Joyce Shepard | Physician Assistant | 7051 Alvarado Road, Suite 201, La Mesa, CA 91942 | 2018-05-17 |
| 1871013532 | Low Dental, A.p.c. | Public Health or Welfare | 7872 La Mesa Blvd., La Mesa, CA 91942 | 2017-06-23 |
| 1275069437 | Ardel Ayala | Respiratory Therapist, Registered | 5800 Lake Murray Blvd. Unit 15, La Mesa, CA 91942 | 2017-05-10 |
| 1285007583 | Counseling & Behavioral Specialists | Marriage & Family Therapist | 5520 Wellesley Street, Ste 204, La Mesa, CA 91942 | 2015-11-09 |
| 1285001875 | Emily Shozaki Rizo | Nurse Practitioner | 6285 Meadowcrest Drive, La Mesa, CA 91942 | 2015-08-31 |
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| Taxonomy Code | 175F00000X |
| Grouping | Other Service Providers |
| Classification | Naturopath |
| Diagnoses, treats, and cares for patients, using system of practice that bases treatment of physiological functions and abnormal conditions on natural laws governing human body: Utilizes physiological, psychological, and mechanical methods, such as air, water, light, heat, earth, phototherapy, food and herb therapy, psychotherapy, electrotherapy, physiotherapy, minor and orificial surgery, mechanotherapy, naturopathic corrections and manipulation, and natural methods or modalities, together with natural medicines, natural processed foods, and herbs and nature's remedies. Excludes major surgery, therapeutic use of x ray and radium, and use of drugs, except those assimilable substances containing elements or compounds which are components of body tissues and are physiologically compatible to body processes for maintenance of life. |
| Notes: Source: The Federal Dictionary of Occupational Titles, U.S. Department of Labor, Washington, D.C., section #079, 101-014 [7/1/2007: definition changed, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235615428 | Ashley Nichole Alexis | Naturopath | 7200 Parkway Dr Ste 117, La Mesa, CA 91942-1534 | 2018-07-11 |
| 1841706546 | Cassie Jones | Naturopath | 5953 Lubbock Ave, La Mesa, CA 91942-3213 | 2017-12-18 |
| 1982035721 | Heather Malia Sandison | Naturopath | 5268 Baltimore Dr, La Mesa, CA 91942-2080 | 2013-12-04 |
| 1649432709 | Drew Evan Collins | Naturopath | 8811 Grossmont Blvd, La Mesa, CA 91942-9026 | 2008-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912337 | Kieu Mindy Nguyen | Naturopath | 491 41st St Unit 8, Oakland, CA 94609-2695 | 2020-11-04 |
| 1780285809 | Kimberley Love | Naturopath | 1757 Countryside Dr, Vista, CA 92081-8727 | 2020-11-04 |
| 1942808076 | Ashley Dumont | Naturopath | Zen Dermatology, 4801 J St, Sacramento, CA 95819 | 2020-10-12 |
| 1376140665 | Jasmine Haddad | Naturopath | 502 First St Ste A, Paso Robles, CA 93446-3764 | 2020-10-08 |
| 1295332948 | Elaine Louise Marquez Mchugh | Naturopath | 4874 Meadowbrook Dr, Oceanside, CA 92056-6637 | 2020-10-06 |
| 1629675459 | Christopher Chang | Naturopath | 623 W Duarte Rd Ste A, Arcadia, CA 91007-7337 | 2020-10-05 |
| 1427655463 | Paria Vaziri | Naturopath | 1559 1/2 Reed Ave, San Diego, CA 92109-5361 | 2020-10-02 |
| 1598362527 | Wafaa George Matti | Naturopath | 2696 Pine Glen Ct, El Cajon, CA 92019-3913 | 2020-10-02 |
| 1356948376 | Barbara Ivos | Naturopath | 6202 Friars Rd Unit 304, San Diego, CA 92108-1008 | 2020-10-02 |
| 1649877846 | Brian James Trainor | Naturopath | 3636 5th Ave Ste 300, San Diego, CA 92103-4230 | 2020-10-01 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.