Lisa Rae Bowen, CMT, NBC-HWC

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

License

NBHWCA3622179 Issued in CA

Practice address

454 Las Gallinas Ave # 2023
San Rafael, CA 94903-3618

Phone

(415) 454-3400

NPI assigned

Dec 2, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

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": "1417478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766707200000",
    "number": "1285031435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 LAS GALLINAS AVE # 2023",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949033618",
            "telephone_number": "415-454-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 LAS GALLINAS AVE # 2023",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949033618",
            "telephone_number": "415-454-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "LISA",
        "middle_name": "RAE",
        "name_prefix": "Ms.",
        "credential": "CMT, NBC-HWC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-02",
        "last_updated": "2025-12-26",
        "certification_date": "2025-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "CA",
            "license": "NBHWCA3622179",
            "primary": true
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "CAMTC 32577",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NBHWC",
            "identifier": "A-3622179",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCOACHES",
            "identifier": "222672",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAMTC",
            "identifier": "32577",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dawn Bottini
• Caroline Bourcier, MSPT, OCS
• Carrie Dobbin Bourguignon, PSYD
• Margaret Marie Bourne, MS CCC-SLP
• Caroline Boussenot
• Amy Bower
• Elyse Ann Boyar
• Jennifer Lynnea Ufferman Boyd, M.A.
• Laura Boyd, MS OTR/L
• Jacob R Boyle, MA

• Health & Wellness Coach in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Health & Wellness Coach in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2025; 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.