Lydia Devon Bowen

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

830 Deephole Branch Rd
Genoa, WV 25517-7704

Phone

(304) 955-9019

NPI assigned

Nov 5, 2020

Last updated

Nov 5, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Not enrolled

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

{
    "created_epoch": "1604534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1285235291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 DEEPHOLE BRANCH RD",
            "city": "GENOA",
            "state": "WV",
            "postal_code": "255177704",
            "telephone_number": "304-955-9019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 DEEPHOLE BRANCH RD",
            "city": "GENOA",
            "state": "WV",
            "postal_code": "255177704",
            "telephone_number": "304-955-9019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "LYDIA",
        "middle_name": "DEVON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-05",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Adams
• Janel Denise Adams, DIRECT PROVIDER CARE
• Daisy Mae Bishop
• Morgan Paige Branch
• Martha Ann Brewer
• Maryssa Brooks
• Christin Bryant
• Angela Renee Carter

• Personal Care Attendant in Genoa, WV
• Providers in Genoa, WV by specialty
• Personal Care Attendant in West Virginia

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