Kerry Lynn Bowman, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP-1386 Issued in ID

Practice address

7 N 600 W
Blackfoot, ID 83221-5533

Phone

(208) 782-8867

Fax

(208) 684-9812

NPI assigned

Mar 5, 2008

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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.

• Camp Hippo Pediatric Therapy LLC

  • Occupational Therapist
  • Blackfoot, ID
  • NPI 1609032267

  Speech-Language Pathologist

  NPD (past)
• Camp Hippo Pediatric Therapy LLC.

  • Multi-Specialty Clinic/Center
  • Blackfoot, ID
  • NPI 1902084833
  NPD (past)

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204675200000",
    "number": "1205006376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 LARK LN",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832015503",
            "telephone_number": "208-237-6538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 N 600 W",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832215533",
            "telephone_number": "208-782-8867",
            "fax_number": "208-684-9812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "KERRY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-05",
        "last_updated": "2008-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ID",
            "license": "SLP-1386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• BMH, Inc.
• BMH, Inc.
• BMH, Inc.
• BMH, Inc.
• Brian Don Boehme
• Bridges of Hope Psychiatry
• Brooke Brown, APRN-CNP
• Lynette Mardel Brown, M.D., PH.D.
• Megan Nicole Broyles, PHARM. D.
• Charles Douglas Bryan

• All providers in Blackfoot, ID
• Speech-Language Pathologist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; 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.