Shanille Bowens

Primary specialty

DoulaTaxonomy code 374J00000X

License

374J00000X Issued in TN

Practice address

7174 Blue Grouse LN
Memphis, TN 38125-4407

Phone

(773) 814-3402

NPI assigned

Aug 29, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Naturally Nurtured Birth Services

  • Doula
  • Memphis, TN
  • NPI 1295428472

  Lactation Consultant, Non-RN

  NPD Authorized official

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

{
    "created_epoch": "1598659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1205449121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7174 BLUE GROUSE LN",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381254407",
            "telephone_number": "773-814-3402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7174 BLUE GROUSE LN",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381254407",
            "telephone_number": "773-814-3402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWENS",
        "first_name": "SHANILLE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-29",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": "TN",
            "license": "325452",
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Doula",
            "state": "TN",
            "license": "374J00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronnie Durrell Bowen, M.D
• Stephanie Vining Bowen
• Suzanne Bowen
• Tara Roquelle Bowen
• Sedrica N Bowens
• Cloteal N Bowers, BS
• Grace Caroline Bowers, DMD
• Kimberly Bowers
• Stephen Hogan Bowie, M.D.
• Michael Shawn Bowlan, O.D.

• Doula in Memphis, TN
• Providers in Memphis, TN by specialty
• Doula in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; 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.