Laura Kathleen Bowermaster, RD, LD, CDE

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

402 Issued in NM

Practice address

2901 Transport St SE
Albuquerque, NM 87106-3453

Phone

(505) 342-8408

NPI assigned

Jul 10, 2012

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)

Enrolled

State licenses

Practice roles

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

• Diabetes Self-Management Center, Inc

  • Health Service Clinic/Center
  • Albuquerque, NM
  • NPI 1225178221
  NPD (past)
• Optumcare Endoscopy Center New Mexico, LLC

  • Ambulatory Surgical Clinic/Center
  • Albuquerque, NM
  • NPI 1962685834
  NPD (past)

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1447515952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26028",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871256028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 TRANSPORT ST SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871063453",
            "telephone_number": "505-342-8408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWERMASTER",
        "first_name": "LAURA",
        "middle_name": "KATHLEEN",
        "name_prefix": "Ms.",
        "credential": "RD, LD, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-10",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NM",
            "license": "402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Alexander Bower, LPCC
• Ashlee Lauren Bower, DMD
• Jada Bower
• Ling Zhong Bower, PHARM D
• Tiffany Bower, CCSS
• Bowers and Oki Family Dentistry, PC
• Andrew Forrest Bowers
• Christian Andrew Bowers, M.D.
• David Bowers, PTA
• E Diane Bowers, MD

• Registered Dietitian in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Registered Dietitian in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.