Active NPI
Deanna Bowers
- Registered Dietitian
- Maryville, MO
National Provider Identifier
1326469768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2009007425
- Practice address
- 1217 S Main St
Maryville, MO 64468-2603 - Phone
- (660) 582-2191
- Fax
- (660) 582-2456
- NPI assigned
- Jan 3, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 2009007425 | MO | Primary |
Addresses
Primary practice location
1217 S Main St
Maryville, MO 64468-2603
Mailing address
1217 S Main St
Maryville, MO 64468-2603
Phone (660) 582-2191
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2009007425 | MO | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403136000000",
"number": "1326469768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1217 S MAIN ST",
"city": "MARYVILLE",
"state": "MO",
"postal_code": "644682603",
"telephone_number": "660-582-2191",
"fax_number": "660-582-2456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1217 S MAIN ST",
"city": "MARYVILLE",
"state": "MO",
"postal_code": "644682603",
"telephone_number": "660-582-2191",
"fax_number": "660-582-2456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWERS",
"first_name": "DEANNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-03",
"last_updated": "2014-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MO",
"license": "2009007425",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maryville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.