Active NPI
Jaime Bowen, LMSW
- Registered Dietitian
- Massapequa, NY
National Provider Identifier
1457507196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 898954
- Practice address
- 152 N Kings Ave
Massapequa, NY 11758-3467 - Phone
- (516) 558-7866
- NPI assigned
- Aug 13, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 076278 | NY | |
| Registered Dietitian | 133V00000X | 898954 | NY | Primary |
Addresses
Primary practice location
152 N Kings Ave
Massapequa, NY 11758-3467
Mailing address
152 N Kings Ave
Massapequa, NY 11758-3467
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
| License | State | Type | Specialty |
|---|---|---|---|
| 076278 | NY | MD | Social Worker |
| 898954 | NY | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222387200000",
"number": "1457507196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "152 N KINGS AVE",
"city": "MASSAPEQUA",
"state": "NY",
"postal_code": "117583467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "152 N KINGS AVE",
"city": "MASSAPEQUA",
"state": "NY",
"postal_code": "117583467",
"telephone_number": "516-558-7866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWEN",
"first_name": "JAIME",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-13",
"last_updated": "2008-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "076278",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "898954",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Massapequa, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.