MR. KENNITH WAYNE FOWLER (NPI# 1578160610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578160610 |
| Entity Type | Individual |
| Full Name | MR. KENNITH WAYNE FOWLER |
| Credential | CP 60311706 |
| Practice Address |
901 Rainier Ave S Seattle WA 98144-2839 |
| Mailing Address |
7700 Rainier Ave S Apt 405 Seattle WA 98118-4163 |
| Practice Telephone | 2064703856 |
| Mailing Telephone | 2062299048 |
| Enumeration Date | 2020-10-01 |
| Last Update Date | 2020-10-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CP60311706 | WA | Behavioral Health & Social Service Providers |
| Street Address |
901 RAINIER AVE S |
| City | SEATTLE |
| State | WA |
| Zip Code | 98144-2839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316458474 | Steven Lee Campbell | Counselor | 901 Rainier Ave S, Seattle, WA 98144-2839 | 2017-10-17 |
| 1619582871 | Marlon Henao | Community Health Worker | 901 Rainier Ave S, Seattle, WA 98144-2839 | 2020-09-14 |
| 1952914574 | Christina M Bresina | Peer Specialist | 901 Rainier Ave S, Seattle, WA 98144-2839 | 2020-08-24 |
| 1669083663 | Alexa Farris | Counselor | 901 Rainier Ave S, Seattle, WA 98144-2839 | 2020-08-12 |
| 1346850526 | Jake Blondheim | Counselor | 901 Rainier Ave S, Seattle, WA 98144-2839 | 2020-08-03 |
| 1114542412 | Eugene Vincent Defelice | Student in an Organized Health Care Education/Training Program | 901 Rainier Ave S, Seattle, WA 98144-2839 | 2020-06-11 |
| 1902426794 | Michael Robert Mathias | Case Manager/Care Coordinator | 901 Rainier Ave S, Seattle, WA 98144-2839 | 2020-04-21 |
| 1427685676 | Joyce Kisubi-muyanja | Licensed Practical Nurse | 901 Rainier Ave S, Seattle, WA 98144-2839 | 2020-03-26 |
| 1528693124 | Nicole Trichler | Counselor | 901 Rainier Ave S, Seattle, WA 98144-2839 | 2020-03-04 |
| 1003448051 | Brandon Zahl | Counselor | 901 Rainier Ave S, Seattle, WA 98144-2839 | 2020-02-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558975235 | Miranda Plummer | Counselor | 2122 S Jackson Street, Seattle, WA 98144 | 2020-09-01 |
| 1891337457 | Alyson Paris | Counselor | 2100 24th Ave S, Suite 260, Seattle, WA 98144 | 2019-10-15 |
| 1912558370 | Marco Antonio Medina Sotelo | Counselor | 113 23rd Avenue South, Seattle, WA 98144 | 2019-09-26 |
| 1952865909 | John Thomas Hogan | Counselor | 1600 S Lane, Seattle, WA 98144 | 2019-01-23 |
| 1134693856 | Kimo Martin | Peer Specialist | 1600 Lane St, Seattle, WA 98144 | 2019-01-15 |
| 1952875791 | Rainier Chiropractic Accident and Injury Ps | Massage Therapist | 2326 Rainier Ave S, Ste B, Seattle, WA 98144 | 2019-01-15 |
| 1174097083 | Seann M Combs | Counselor | 1600 S Lane St, Seattle, Wa 98144, Seattle, WA 98144 | 2019-01-14 |
| 1922571587 | Cristina Wirkala | Registered Nurse | Crisis Solutions Center, 1600 South Lane Street, Seattle, WA 98144 | 2019-01-07 |
| 1215405162 | Vickie Barron | Counselor | 3401 Rainier Ave S, Suite B, Seattle, WA 98144 | 2018-11-08 |
| 1164906509 | Julie Seddon Cabell | Counselor | Central Youth and Family Services, 1901 Mlk Jr Way S., Seattle, WA 98144 | 2018-09-21 |
| Find all providers in zip 98144 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528675147 | Tory B Gildred | Counselor | 4328 Baker Ave Nw, Seattle, WA 98107-4349 | 2020-09-28 |
| 1104437185 | The Daniel Clinic, Pllc | Counselor | 1406 Western Ave Apt 509, Seattle, WA 98101-2062 | 2020-08-12 |
| 1205468899 | Connie Heath | Counselor | 13044 14th Ave S, Seattle, WA 98108 | 2020-02-11 |
| 1255972063 | Ryan Wathne | Counselor | 325 9th Ave # Ms 359760, Seattle, WA 98104-2420 | 2019-10-02 |
| 1912558370 | Marco Antonio Medina Sotelo | Counselor | 113 23rd Avenue South, Seattle, WA 98144 | 2019-09-26 |
| 1730743717 | Adrienne Renee Burrington | Counselor | 1811 Eastlake Ave E, Seattle, WA 98102-4171 | 2019-04-25 |
| 1578034971 | Charles Quinn | Counselor | 2815 Eastlake Ave E Ste 100, Seattle, WA 98102-3086 | 2018-12-10 |
| 1689144628 | Sarah Katherine Laing | Counselor | 1811 Eastlake Ave, Seattle, WA 98101-1403 | 2018-12-03 |
| 1629546932 | Lawrence Millard Watson | Counselor | 325 9th Ave # 359896, Seattle, WA 98104-2420 | 2018-11-05 |
| 1063980381 | Dennis Gordon Grove | Counselor | 701 N 36th St, Ste 300, Seattle, WA 98103 | 2018-11-05 |
| Find all providers in SEATTLE | ||||
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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.