Vanessa Peyton Fowlkes, FNP
Nurse Practitioner, Family in Richmond, VA. Individual provider (NPI-1).
NPI number1467477273
StatusActive
Last updated in NPPESJun 13, 2024
Details
- NPI
- 1467477273
- Entity type
- Individual (NPI-1)
- Name
- Vanessa Peyton Fowlkes
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 13, 2006
- Certification date
- Jun 13, 2024
- Last updated
- Jun 13, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 0024164743 | VA | Yes |
| 363LW0102X | Nurse Practitioner, Women's Health | 0024164743 | VA |
Practice location
5116 Richmond Henrico TpkeRichmond, VA 23227-3627
Phone 804-613-5907
Mailing address
201 N Hamilton StRichmond, VA 23221-2601
Phone 804-254-1760 · Fax 401-235-6899
Other practice locations
201 N Hamilton St
Richmond, VA 23221-2601
Richmond, VA 23221-2601
Phone 804-254-1760 · Fax 401-235-6899
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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