Erica Danielle Bowles, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2018030504 Issued in MO

Practice address

1451 Deerwood Dr
Jackson, MO 63755-4147

Phone

(573) 576-1456

NPI assigned

Oct 3, 2019

Last updated

Aug 14, 2023By 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

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1570060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1326689183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 DEERWOOD DR",
            "city": "JACKSON",
            "state": "MO",
            "postal_code": "637554147",
            "telephone_number": "573-576-1456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 DEERWOOD DR",
            "city": "JACKSON",
            "state": "MO",
            "postal_code": "637554147",
            "telephone_number": "573-576-1456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWLES",
        "first_name": "ERICA",
        "middle_name": "DANIELLE",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-03",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2018030504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Ellen Blakemore, M.A.ED.
• Jason Michael Blandford, FNP-BC
• David Bliese
• Hannah Blum, BCBA
• Cassandra Bollinger
• Jamie Christine Bowles, NP
• Shelbee Laine Boyer, FNP-C
• Betsy Brake
• Rachelle Elisabeth Brosnan, M.S., CCC-SLP
• Amy Elizabeth Brueckner, M.A.,CCC-SLP

• Speech-Language Pathologist in Jackson, MO
• Providers in Jackson, MO by specialty
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.