Active NPI
Kimberly Lurie Bowen, M.S., CCC/SLP
- Speech-Language Pathologist
- Sanford, FL
National Provider Identifier
1073803169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA 6610
- Practice address
- 132 Sterling Pine St
Sanford, FL 32773-7431 - Phone
- (407) 330-0542
- Fax
- (407) 330-0542
- NPI assigned
- Apr 11, 2011
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA 6610 | FL | Primary |
Addresses
Primary practice location
132 Sterling Pine St
Sanford, FL 32773-7431
Mailing address
132 Sterling Pine St
Sanford, FL 32773-7431
Phone (407) 330-0542
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 |
|---|---|---|---|
| SA 6610 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302480000000",
"number": "1073803169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "132 STERLING PINE ST",
"city": "SANFORD",
"state": "FL",
"postal_code": "327737431",
"telephone_number": "407-330-0542",
"fax_number": "407-330-0542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "132 STERLING PINE ST",
"city": "SANFORD",
"state": "FL",
"postal_code": "327737431",
"telephone_number": "407-330-0542",
"fax_number": "407-330-0542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWEN",
"first_name": "KIMBERLY",
"middle_name": "LURIE",
"name_prefix": "Mrs.",
"credential": "M.S., CCC/SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-11",
"last_updated": "2011-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA 6610",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sanford, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.