Individual provider Active NPI

Tracy Jo Bowdish, MM NMT FELLOW, MT-BC

  • Music Therapist
  • Norfolk, VA
National Provider Identifier
1306055736
Registry record updated Aug 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Music TherapistTaxonomy code 225A00000X
Practice address
600 Greshem Drive
Sentara Heart Hospital Suite 8630
Norfolk, VA 23507
Phone
(757) 388-6163
NPI assigned
May 22, 2007
Last updated
Aug 29, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Music Therapist 225A00000X NU Primary

Addresses

Primary practice location

600 Greshem Drive
Sentara Heart Hospital Suite 8630
Norfolk, VA 23507

Mailing address

600 Greshem Drive
Sentara Heart Hospital Suite 8630
Norfolk, VA 23507
Phone (757) 388-6163

Other names 1

  • Tracy Jo Kiel 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

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377734400000",
    "number": "1306055736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 GRESHEM DRIVE",
            "address_2": "SENTARA HEART HOSPITAL SUITE 8630",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "23507",
            "telephone_number": "757-388-6163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 GRESHEM DRIVE",
            "address_2": "SENTARA HEART HOSPITAL SUITE 8630",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "23507",
            "telephone_number": "757-388-6163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWDISH",
        "first_name": "TRACY",
        "middle_name": "JO",
        "name_prefix": "Ms.",
        "credential": "MM NMT FELLOW, MT-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2013-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "KIEL",
            "middle_name": "JO",
            "credential": "MM NMT FELLOW, MT-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; 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.