Shirley Anne Bowles, ED.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

3054 Issued in NC

Practice address

130 N Tradd St
Suite D
Statesville, NC 28677-5240

Phone

(704) 881-0129

Fax

(704) 838-1140

NPI assigned

Mar 7, 2007

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Carolinas Counseling Solutions Inc.

  • Mental Health Counselor
  • Statesville, NC
  • NPI 1437388766
  NPD (past)
• Mental Health Provider Services LLC

  • Psychologist
  • Statesville, NC
  • NPI 1679708721
  NPD (past)

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083745814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 VALLEY ST",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286773542",
            "telephone_number": "704-754-6383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 N TRADD ST",
            "address_2": "SUITE D",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286775240",
            "telephone_number": "704-881-0129",
            "fax_number": "704-838-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWLES",
        "first_name": "SHIRLEY",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "ED.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "3054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6000920",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Ann Boone, FNP
• Sarah G. Borders, LPC
• Michael Borja, MD
• Naim Ezzat Bouhussein, M.D.
• Michael Antoine Boulware, LCSW
• Danita Bowling, J.D., PH.D.
• Janine Lynne Bowman, PHD
• Dianne Elliott Braddock, DA II
• Travis Matthew Bradey
• James Hedrick Bradford, M.D.

• Psychologist in Statesville, NC
• Providers in Statesville, NC by specialty
• Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.