Active NPI
Barbara Bowen
- Speech-Language Pathologist
- Mesa, AZ
National Provider Identifier
1053709287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP9204
- Practice address
- 8433 E. Leland St.
Mesa, AZ 85207 - Phone
- (866) 308-2700
- NPI assigned
- Dec 22, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP9204 | AZ | Primary |
| Speech-Language Pathologist | 235Z00000X | 146.003741 | IL |
Addresses
Primary practice location
8433 E. Leland St.
Mesa, AZ 85207
Mailing address
8433 E Leland St
Mesa, AZ 85207-3009
Phone (303) 929-8569
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP9204 | AZ | MD | Speech-Language Pathologist |
| 146.003741 | IL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1419206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419206400000",
"number": "1053709287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8433 E LELAND ST",
"city": "MESA",
"state": "AZ",
"postal_code": "852073009",
"telephone_number": "303-929-8569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8433 E. LELAND ST.",
"city": "MESA",
"state": "AZ",
"postal_code": "85207",
"telephone_number": "866-308-2700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWEN",
"first_name": "BARBARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-22",
"last_updated": "2014-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "SLP9204",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146.003741",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.