Individual provider Active NPI

Indie Underwood Bowman, M.C.D.,CCC-SLP

  • Speech-Language Pathologist
  • McKinney, TX
National Provider Identifier
1285846725
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
101093 Issued in TX
Practice address
7113 Wind Row Dr
McKinney, TX 75070-8624
Phone
(469) 955-8255
NPI assigned
May 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 101093 TX Primary

Addresses

Primary practice location

7113 Wind Row Dr
McKinney, TX 75070-8624

Mailing address

7113 Wind Row Dr
McKinney, TX 75070-8624
Phone (469) 955-8255

Other identifiers 1

IdentifierTypeStateIssuer
101093OtherTXLICENSED SPEECH-LANG PATH

Other names 1

  • Indie L Underwood Former name

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

State licenses

LicenseStateTypeSpecialty
101093TXMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285846725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7113 WIND ROW DR",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750708624",
            "telephone_number": "469-955-8255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7113 WIND ROW DR",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750708624",
            "telephone_number": "469-955-8255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "INDIE",
        "middle_name": "UNDERWOOD",
        "credential": "M.C.D.,CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "101093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED SPEECH-LANG PATH",
            "identifier": "101093",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "INDIE",
            "last_name": "UNDERWOOD",
            "middle_name": "L",
            "credential": "M.C.D.,CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.