Active NPI
De Juana Monique Bowie, M.S.
- Family Psychologist
- Kilgore, TX
National Provider Identifier
1073407565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Psychologist
- License
- 80900
- Practice address
- 14109 County Road 297 N
Kilgore, TX 75662-1595 - Phone
- (346) 525-1706
- NPI assigned
- Jun 7, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Psychologist | 103TF0000X | 80900 | Primary |
Addresses
Primary practice location
14109 County Road 297 N
Kilgore, TX 75662-1595
Mailing address
14109 County Road 297 N
Kilgore, TX 75662-1595
Phone (346) 525-1706
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073407565 | Other | TX | DJLIVES4LUV |
| 1073407565 | Medicaid | TX |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80900 | TX | MD | Home Health Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782691200000",
"number": "1073407565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14109 COUNTY ROAD 297 N",
"city": "KILGORE",
"state": "TX",
"postal_code": "756621595",
"telephone_number": "346-525-1706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14109 COUNTY ROAD 297 N",
"city": "KILGORE",
"state": "TX",
"postal_code": "756621595",
"telephone_number": "346-525-1706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWIE",
"first_name": "DE JUANA",
"middle_name": "MONIQUE",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-06-07",
"last_updated": "2026-06-29",
"certification_date": "2026-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "103TF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Family",
"state": null,
"license": "80900",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DJLIVES4LUV",
"identifier": "1073407565",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1073407565",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kilgore, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.