Active NPI
Kelly Roberts Bowles
- School Social Worker
- Trussville, AL
National Provider Identifier
1346947371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- Practice address
- 309 Brentwood Ave
Trussville, AL 35173-1151 - Phone
- (205) 718-6458
- NPI assigned
- Feb 9, 2023
- Last updated
- Feb 9, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | NU | Primary |
Addresses
Primary practice location
309 Brentwood Ave
Trussville, AL 35173-1151
Mailing address
309 Brentwood Ave
Trussville, AL 35173-1151
Phone (205) 718-6458
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": "1675900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675900800000",
"number": "1346947371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 BRENTWOOD AVE",
"city": "TRUSSVILLE",
"state": "AL",
"postal_code": "351731151",
"telephone_number": "205-718-6458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 BRENTWOOD AVE",
"city": "TRUSSVILLE",
"state": "AL",
"postal_code": "351731151",
"telephone_number": "205-718-6458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWLES",
"first_name": "KELLY",
"middle_name": "ROBERTS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-09",
"last_updated": "2023-02-09",
"certification_date": "2023-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Trussville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.