Lisa Bowell, ARRT(R)(N), CNMT

Primary specialty

Nuclear Medicine Technology Radiologic TechnologistTaxonomy code 2471N0900X

License

RHN 2781 Issued in CA

Practice address

1640 W. Redstone Center Dr. Suite 200
Supplemental Health Care
Park City, UT 84098-7607

Phone

(888) 800-8744

NPI assigned

Mar 7, 2012

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 8

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1331078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331078400000",
    "number": "1164796272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 FLORAL BLVD",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597014117",
            "telephone_number": "406-494-4169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 W. REDSTONE CENTER DR. SUITE 200",
            "address_2": "SUPPLEMENTAL HEALTH CARE",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840987607",
            "telephone_number": "888-800-8744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWELL",
        "first_name": "LISA",
        "credential": "ARRT(R)(N), CNMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-07",
        "last_updated": "2012-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": "NM",
            "license": "RRT 04403",
            "primary": false
        },
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": "CA",
            "license": "RHT00085290",
            "primary": false
        },
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": "WA",
            "license": "RT 60019537",
            "primary": false
        },
        {
            "code": "2471N0900X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Nuclear Medicine Technology",
            "state": "CA",
            "license": "RHN 2781",
            "primary": true
        },
        {
            "code": "2471N0900X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Nuclear Medicine Technology",
            "state": "WA",
            "license": "RT 60019537",
            "primary": false
        },
        {
            "code": "2471N0900X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Nuclear Medicine Technology",
            "state": "RI",
            "license": "NMT00221",
            "primary": false
        },
        {
            "code": "2471N0900X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Nuclear Medicine Technology",
            "state": "MA",
            "license": "17243",
            "primary": false
        },
        {
            "code": "2471N0900X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Nuclear Medicine Technology",
            "state": "NM",
            "license": "NMT 00522",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cress Roy Bohnn, M.D
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• Rodolfo Steven Bonilla, CSW
• Marjorie Galvin Booth, PT
• Bounce Therapy LLC
• Watson Allen Bowes III, M.D.
• Shannon Smietana Boxley, LMFT
• Alexander Boyd
• Tamara Bozeman
• Amy Bradford, RN

• Radiologic Technologist in Park City, UT
• Providers in Park City, UT by specialty
• Radiologic Technologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2012; 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.