Individual provider Active NPI

Jaimee Bowman, MS, ATC, PES

  • Athletic Trainer
  • Spartanburg, SC
National Provider Identifier
1346640554
Registry record updated Nov 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
2092 Issued in SC
Practice address
1000 Powell Mill Rd
Spartanburg, SC 29301-5808
Phone
(864) 587-4376
NPI assigned
Aug 26, 2014
Last updated
Nov 14, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 2092 SC Primary

Addresses

Primary practice location

1000 Powell Mill Rd
Spartanburg, SC 29301-5808

Mailing address

1000 Powell Mill Rd
Spartanburg, SC 29301-5899
Phone (864) 587-4376

Other practice location 1

RR 1 Box 58
Lost Creek, WV 26385-9707
Phone (304) 326-7440

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2092SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care of West Virginia, Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1409011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542153600000",
    "number": "1346640554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 POWELL MILL RD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293015899",
            "telephone_number": "864-587-4376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 POWELL MILL RD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293015808",
            "telephone_number": "864-587-4376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "RR 1 Box 58",
            "address_purpose": "LOCATION",
            "city": "Lost Creek",
            "state": "WV",
            "postal_code": "263859707",
            "country_code": "US",
            "telephone_number": "304-326-7440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "JAIMEE",
        "credential": "MS, ATC, PES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-26",
        "last_updated": "2018-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "SC",
            "license": "2092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2018; 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.