Active NPI
Jessica Bowman
- Health Educator
- Frederick, MD
National Provider Identifier
1215534623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- Practice address
- 501 W 7TH St
Frederick, MD 21701-4586 - Phone
- (240) 439-8910
- NPI assigned
- Oct 8, 2020
- 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 |
|---|---|---|---|---|
| Health Educator | 174H00000X | Primary | ||
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
501 W 7TH St
Frederick, MD 21701-4586
Mailing address
501 W 7TH St
Frederick, MD 21701-4586
Phone (240) 439-8910
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": "1602115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652832000000",
"number": "1215534623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 W 7TH ST",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217014586",
"telephone_number": "240-439-8910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 W 7TH ST",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217014586",
"telephone_number": "240-439-8910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWMAN",
"first_name": "JESSICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-08",
"last_updated": "2022-05-18",
"certification_date": "2022-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.