Shanelle Bowman, CPT

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

License

X5S4X7Z9 Issued in NY

Practice address

14812 112TH Ave
Jamaica, NY 11435-5817

Phone

(347) 725-5843

NPI assigned

Mar 25, 2024

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1437909314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14812 112TH AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114355817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14812 112TH AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114355817",
            "telephone_number": "347-725-5843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "SHANELLE",
        "credential": "CPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-25",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "NY",
            "license": "X5S4X7Z9",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Bourne, CRC
• Celene D Bouyer
• Daniella Salnave Bouzi, NP
• Rosanna Bove
• Kirt Bowen, PA
• Shevon S Bowman, L.M.S.W
• David Boyd
• Xiomara Boyke
• Roger Boykin, MD
• Tabatha Shere Boykins, LCSW

• Phlebotomy Technician in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Phlebotomy Technician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.