Individual provider Active NPI

Alicia Lyn Bowman

  • Peer Specialist
  • Huntington, WV
National Provider Identifier
1437886256
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
00000000000 Issued in WV
Practice address
1235 6TH Ave
Huntington, WV 25701-2311
Phone
(304) 633-9843
Fax
(304) 523-8341
NPI assigned
Aug 2, 2022
Last updated
Aug 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X 00000000000 WV Primary

Addresses

Primary practice location

1235 6TH Ave
Huntington, WV 25701-2311

Mailing address

1320 7TH Ave
Huntington, WV 25701-2904
Phone (304) 523-5459

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

State licenses

LicenseStateTypeSpecialty
00000000000WVMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Lilys Place Family Center CurrentSince Aug 7, 2022 Accepting new patients
Lily's Place, Inc. PastSince Aug 7, 2022 Accepting new patients

Locations

1235 6th Ave
Huntington, WV 25701
Phone (681) 432-0600

Organizations & group practices 2

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": "1659398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1437886256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 7TH AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257012904",
            "telephone_number": "304-523-5459",
            "fax_number": "304-523-8341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 6TH AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257012311",
            "telephone_number": "304-633-9843",
            "fax_number": "304-523-8341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "ALICIA",
        "middle_name": "LYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-02",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "WV",
            "license": "00000000000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; 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.