JATAYA ALIANNA FOWLKES
NPI 1922946987
Clinic/Center - Health Service in Winston Salem, NC

Active since March 23, 2026
1413 TRADEMART BLVD, WINSTON SALEM, NC 27127(336) 791-9516 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Jataya Alianna Fowlkes NPPES

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

JATAYA ALIANNA FOWLKES (NPI 1922946987) is an individual health service provider in Winston Salem, North Carolina and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1922946987
Entity TypeIndividualFemale
Primary Taxonomy261QH0100X
Provider Legal NameJATAYA ALIANNA FOWLKES
Location Address1413 TRADEMART BLVDWinston Salem, NC 27127-5645
Mailing Address1413 Trademart BlvdWinston Salem, NC 27127-5645 · (336) 791-9516
Sole ProprietorYes
Enumeration DateMarch 23, 2026
Last NPPES UpdateJune 15, 2026
NPPES CertifiedJune 15, 2026
✔ NPI 1922946987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
1413 TRADEMART BLVD, Winston Salem, NC 27127

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jataya Fowlkes's NPI number?

The NPI number for Jataya Fowlkes is 1922946987. It was assigned to this individual provider in the NPPES registry on March 23, 2026.

Where is Jataya Fowlkes located?

Jataya Fowlkes practices at 1413 Trademart Blvd, Winston Salem, NC 27127. The listed phone number is (336) 791-9516.

What is Jataya Fowlkes's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for Jataya Fowlkes was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.