XAVIER FOWLER
NPI 1063917904
Student in an Organized Health Care Education/Training Program in Lebanon, NH

Q: What is Xavier Fowler's NPI number?

The NPI number for Xavier Fowler is 1063917904. It was assigned to this individual provider in the NPPES registry on March 23, 2018.

Q: What is Xavier Fowler's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Xavier Fowler was last updated on November 30, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 23, 2018PECOS Enrolled

1 MEDICAL DR, LEBANON, NH 03756(845) 893-2210 Get Directions Write a Review

NPPES record last updated: November 30, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 30, 2022, Mar 23, 2018 (2 updates tracked since 2018).

On this page

About Xavier Fowler NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

XAVIER FOWLER (NPI 1063917904) is an individual student in an organized health care education/training program in Lebanon, New Hampshire and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063917904

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameXAVIER FOWLER

Location Address1 MEDICAL DRLebanon, NH 03756-1000

Mailing Address1 Medical Center DrLebanon, NH 03756-1000

Phone(845) 893-2210

Sole ProprietorNo

Enumeration DateMarch 23, 2018

Last NPPES UpdateNovember 30, 20222 updates tracked since enumeration

NPPES CertifiedNovember 30, 2022

✔ NPI 1063917904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1 MEDICAL DR, Lebanon, NH 03756

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Xavier Fowler is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Leave this field empty