Active NPI
Jessica Elizabeth Bowling, CST
- Surgical Technologist
- Dayton, OH
National Provider Identifier
1205188117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Technologist
- License
- 127877
- Practice address
- 105 Sugar Camp Cir
Suite 200
Dayton, OH 45409-1962 - Phone
- (937) 222-3937
- Fax
- (937) 223-5254
- NPI assigned
- Oct 3, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmic Assistant | 156FX1101X | 197849 | ||
| Surgical Technologist | 246ZS0410X | 127877 | Primary |
Addresses
Primary practice location
105 Sugar Camp Cir
Suite 200
Dayton, OH 45409-1962
Mailing address
105 Sugar Camp Cir
Suite 200
Dayton, OH 45409-1962
Phone (937) 222-3937
Other names 1
- Jessica Elizabeth Smith
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349222400000",
"number": "1205188117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 SUGAR CAMP CIR",
"address_2": "SUITE 200",
"city": "DAYTON",
"state": "OH",
"postal_code": "454091962",
"telephone_number": "937-222-3937",
"fax_number": "937-223-5254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 SUGAR CAMP CIR",
"address_2": "SUITE 200",
"city": "DAYTON",
"state": "OH",
"postal_code": "454091962",
"telephone_number": "937-222-3937",
"fax_number": "937-223-5254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWLING",
"first_name": "JESSICA",
"middle_name": "ELIZABETH",
"credential": "CST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-03",
"last_updated": "2012-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1101X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Ophthalmic Assistant",
"state": null,
"license": "197849",
"primary": false
},
{
"code": "246ZS0410X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Technologist",
"state": null,
"license": "127877",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "SMITH",
"middle_name": "ELIZABETH",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.