Individual provider Active NPI

Stephanie Leigh Bowman, ATC, LAT

  • Athletic Trainer
  • Charlotte, NC
National Provider Identifier
1447523931
Registry record updated Feb 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
1683 Issued in NC
Practice address
4400 Golf Acres Dr
Building J, Suite D
Charlotte, NC 28232-5990
Phone
(919) 698-2358
NPI assigned
Feb 15, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2012

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 1683 NC Primary

Addresses

Primary practice location

4400 Golf Acres Dr
Building J, Suite D
Charlotte, NC 28232-5990

Mailing address

7828 Country Knoll
Bahama, NC 27503-8820
Phone (919) 698-2358

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": "1329264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329264000000",
    "number": "1447523931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7828 COUNTRY KNOLL",
            "city": "BAHAMA",
            "state": "NC",
            "postal_code": "275038820",
            "telephone_number": "919-698-2358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 GOLF ACRES DR",
            "address_2": "BUILDING J, SUITE D",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282325990",
            "telephone_number": "919-698-2358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "STEPHANIE",
        "middle_name": "LEIGH",
        "name_prefix": "Miss",
        "credential": "ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-15",
        "last_updated": "2012-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NC",
            "license": "1683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; 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.