Active NPI
Kurt Bowman
- Home Health Aide
- Tallahassee, FL
National Provider Identifier
1144996091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- 299995335
- Practice address
- 2236 Capital Cir NE Ste 106
Tallahassee, FL 32308-8304 - Phone
- (850) 661-0557
- NPI assigned
- Aug 20, 2021
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | 299995335 | FL | Primary |
Addresses
Primary practice location
2236 Capital Cir NE Ste 106
Tallahassee, FL 32308-8304
Mailing address
2236 Capital Cir NE Ste 106
Tallahassee, FL 32308-8304
Phone (850) 661-0557
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 |
|---|---|---|---|
| 299995335 | FL | MD | Home Health Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Treasure Hunter KC, LLC | Current | Accepting new patients | |
| Kuku 4 Coco Beach, LLC | Current | Accepting new patients |
Locations
2236 Capital Cir NE
Ste 106
Tallahassee, FL 32308
Phone (850) 661-0557
Organizations & group practices 2
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.
-
dba Synergy Homecare of Panama City
- In Home Supportive Care Agency
- Panama City, FL
- NPI 1811673189
-
dba Synergy HomeCare of North Leon County
- In Home Supportive Care Agency
- Tallahassee, FL
- NPI 1073280764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629417600000",
"number": "1144996091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2236 CAPITAL CIR NE STE 106",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323088304",
"telephone_number": "850-661-0557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2236 CAPITAL CIR NE STE 106",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323088304",
"telephone_number": "850-661-0557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWMAN",
"first_name": "KURT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-20",
"last_updated": "2021-08-20",
"certification_date": "2021-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "FL",
"license": "299995335",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.