Drea Marie Bowen I, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

505 S Greensferry Rd
Post Falls, ID 83854-9590

Phone

(817) 412-0062

NPI assigned

May 29, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Drea Nelson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527552000000",
    "number": "1003307729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 S GREENSFERRY RD",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838549590",
            "telephone_number": "817-412-0062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 S GREENSFERRY RD",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838549590",
            "telephone_number": "817-412-0062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "DREA",
        "middle_name": "MARIE",
        "name_suffix": "I",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-29",
        "last_updated": "2018-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DREA",
            "last_name": "NELSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Meeka J Bond, FNP-C
• Mark P Borsheim, MD
• Ivonne Olay Boujaoude
• Nathan Gary Bourassa, DDS
• Samantha Patricia Bourassa, ATC, LAT
• Joseph Marshall Bowen, M.D.
• David Roman Boyce
• Karen Boyd
• John Eldridge Boykin
• Chaney M Boyle, PHARMD

• All providers in Post Falls, ID
• Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.