GERTRUDE FOWLER


Address: 100 Pineda Ave, Pensacola, FL 32503-3639
Phone: 8504325044

GERTRUDE FOWLER (NPI# 1710307871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710307871
Entity Type Individual
Full Name GERTRUDE FOWLER
Practice Address 100 Pineda Ave
Pensacola
FL 32503-3639
Practice Telephone 8504325044
Mailing Telephone 8504325044
Enumeration Date 2014-04-16
Last Update Date 2014-04-16
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator 82 FL Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL 141447000 05

Office Location

Street Address 100 PINEDA AVE
City PENSACOLA
State FL
Zip Code 32503-3639

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1780123885 Corinne Georgette-marie Carlson Registered Nurse 6809 White Oak Drive, Pensacola, FL 32503 2017-02-22
1538615232 Kristin E Patton Dietitian, Registered 4501 North Davis Hwy, Suite C, Pensacola, FL 32503 2016-09-01
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Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700237435 Estelletta Washington Case Manager/Care Coordinator 7120 Heather Oaks Dr, Pensacola, FL 32506-3893 2016-06-23
1134511959 Angela L Folker Case Manager/Care Coordinator 106 Rosalyn Way, Pensacola, FL 32505-3358 2015-03-03
1689075673 Debra Dubose Case Manager/Care Coordinator 1720 N Pace Blvd, Pensacola, FL 32505-6032 2014-09-09
1356768394 Velma Glass Case Manager/Care Coordinator 4500 Havre Way, Pensacola, FL 32505-3024 2014-03-27
1366745721 Jacqueline Renee Blount-smith Case Manager/Care Coordinator 1110 Fretz St, Pensacola, FL 32534-1637 2010-12-07
1902084825 Meghan Dawn Sealy Case Manager/Care Coordinator 3409 Riverside Dr, Pensacola, FL 32514-8172 2008-02-01
1528243839 Shauna Healy Greene Case Manager/Care Coordinator 2221 Escambia Ave, Pensacola, FL 32503-4914 2008-01-04
1881734770 Charlene Faye Fluharty Case Manager/Care Coordinator 1706 Graduate Way, Pensacola, FL 32514-5703 2007-02-08
1417977380 Myra Elaine Emmett Case Manager/Care Coordinator 2441 N 9th Ave Ste B, Pensacola, FL 32503-3989 2006-07-20
1528537651 Carmella Henley Case Manager/Care Coordinator 1221 W Lakeview Ave, Pensacola, FL 32501-1857 2018-11-19
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Competitor

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City PENSACOLA
Zip Code 32503

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Dataset Information

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.

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